title: TOT approach in stress urinary incontinence (SUI) - outcome in obese female.
abstract: BACKGROUND
  Only limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI).
  
  
  METHODS
  We evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n = 31), overweight (n = 56), and obese (n = 29) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ).
  
  
  RESULTS
  The median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications.
  
  
  CONCLUSIONS
  Our data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery. The success of the outcome of TOT procedure in females and the occurrence of complications are not negatively affected by obesity.
authors.affiliation: Department of Urology and Pediatric Urology, University hospital Marburg, Philipps University, Marburg, Germany. frohme@med.uni-marburg.de.
authors.forename: Carsten
authors.initials: C
authors.lastname: Frohme
authors.forename: Friederike
authors.initials: F
authors.lastname: Ludt
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Varga
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Olbert
authors.forename: Rainer
authors.initials: R
authors.lastname: Hofmann
authors.forename: Axel
authors.initials: A
authors.lastname: Hegele
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology; D020127:Recovery of Function; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*