title: One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.
abstract: BACKGROUND
  The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.
  
  
  METHODS
  Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.
  
  
  RESULTS
  Subjects (N = 195) with a mean age of 59.3 +/- 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).
  
  
  CONCLUSIONS
  Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.
authors.affiliation: Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 618 South 18th Street, NHB Room 219, Birmingham, AL, USA.
authors.forename: Lindsay B
authors.initials: LB
authors.lastname: Killingsworth
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Wheeler
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Burgio
authors.forename: Tovia E
authors.initials: TE
authors.lastname: Martirosian
authors.forename: David T
authors.initials: DT
authors.lastname: Redden
authors.forename: Holly E
authors.initials: HE
authors.lastname: Richter
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009765:Obesity; D050177:Overweight; D017060:Patient Satisfaction; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*