The anatomical outcome of robotic sacrocolpopexy for treatment of pelvic organ prolapse: a comparison of obese and non-obese patients.
The purpose of this study is to compare the anatomical outcome of robotic sacrocolpopexy for pelvic organ prolapse in women with a body mass index (BMI) of 30 and higher to those with a BMI under 30. This is a retrospective chart review. POP-Q measurements preoperatively and 12 months postoperatively were evaluated using non-parametric statistical analysis. The primary outcome was to compare postoperative POPQ measurements at 12 months following surgery. Secondary outcomes were age at the time of surgery, mesh erosion rate, blood loss, length of hospital stay, and baseline anatomical support. A total of 71 patients were identified: 44 patients had a BMI below 30, and 27 had a BMI equal to or greater than 30. We found no significant relationship between BMI and anatomical support at 12 months post operation. However, obese patients were younger at the time of prolapse surgery (53.6 versus 60.6 years of age, p=0.0022). In regards to the ICS prolapse stage, no difference was found between obese and non-obese patients (2.81 versus 2.95, p=0.17).
Department of Obstetrics and Gynecology and Women's Health University of Louisville Louisville, KY.
Ali
A
Azadi
Department of Obstetrics and Gynecology and Women's Health University of Louisville Louisville, KY.
Sean L
SL
Francis
School of Public Health and Information Sciences University of Louisville Louisville, KY.
Kira C
KC
Taylor
Urology of Indiana Greenwood, IN.
Sara I
SI
Diaz
Department of Obstetrics and Gynecology and Women's Health University of Louisville Louisville, KY.
Resad
R
Pasic
College of Arts and Science University of Louisville Louisville, KY.
Taraneh
T
Yeganeh
Harbor-UCLA Medical Center Torrance, CA.
Donald R
DR
Ostergard
D015992:Body Mass Index; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data*