One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.
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.
Killingsworth
Lindsay B
LB
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 618 South 18th Street, NHB Room 219, Birmingham, AL, USA.
Wheeler
Thomas L
TL
Burgio
Kathryn L
KL
Martirosian
Tovia E
TE
Redden
David T
DT
Richter
Holly E
HE
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*