Association of body mass index with hip and thigh pain following transobturator midurethral sling placement.
OBJECTIVE
We sought to investigate the incidence of hip and proximal lower extremity pain following transobturator midurethral sling and evaluate the association between pain and body mass index (BMI).


METHODS
This was a retrospective cohort study of all transobturator midurethral sling procedures from July 2008 through June 2009. The primary outcome was postoperative hip or proximal lower extremity pain.


RESULTS
Four urogynecologists performed 226 procedures. The incidence of postoperative hip or proximal lower extremity pain was 15.5%. Women of normal BMI had a higher risk of developing pain than obese women (risk ratio, 2.51; 95% confidence interval, 1.01-6.22). While not statistically significant, overweight women were twice as likely as obese women to develop the primary outcome (risk ratio, 1.99; 95% confidence interval, 0.79-4.99).


CONCLUSIONS
Women of normal BMI have an increased risk of hip and proximal lower extremity pain following transobturator midurethral sling compared with obese women.
Cadish
Lauren A
LA
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Hacker
Michele R
MR
Dodge
Laura E
LE
Dramitinos
Patricia
P
Hota
Lekha S
LS
Elkadry
Eman A
EA
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D006615:Hip / Q000503:physiopathology*; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology* / Q000503:physiopathology; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D013848:Thigh / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*