title: Comparison of one-year results of transobturator tape method in the stress incontinence treatment according to body mass index.
abstract: OBJECTIVE
  The purpose of this study was to compare the 1-year results of patients on whom we used the transobturator tape method for the stress incontinence treatment according to body mass index (BMI).
  
  
  METHODS
  Patients diagnosed with stress incontinence and treated with the transobturator tape method were divided into three groups according to BMI. We recorded the results of preoperative urodynamic studies; durations of operation, catheterization, and hospitalization; and complications of patients. Patients were evaluated 1 year after the operation with respect to the objective/subjective success rates of the operation, patient satisfaction rates, and possible late complications.
  
  
  RESULTS
  The obese group was observed to have a significantly higher duration of operation than the normal and overweight groups (p<0.001). The objective and subjective success rates were not significantly different between the groups (p=0.567 and p=0.245, respectively). There was no statistical difference between the groups with respect to the satisfaction rates (p=0.245). There was no significant difference between all three groups with respect to both preoperative and postoperative complication rates (p=0.096).
  
  
  CONCLUSIONS
  The transobturator tape method for stress incontinence treatment has similar objective and subjective success rates, independent of BMI. In the obese patients, the operation time is longer than the others, but there is no difference with respect to the complication rates.
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Şükrü
authors.initials: Ş
authors.lastname: Kumsar
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Aydemir
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Köse
authors.affiliation: Department of Urology, Tepecik Training and Research Hospital, İzmir, Turkey.
authors.forename: Salih
authors.initials: S
authors.lastname: Budak
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Hasan Salih
authors.initials: HS
authors.lastname: Sağlam
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Öztuğ
authors.initials: Ö
authors.lastname: Adsan
keywords: Complication; obesity; stress incontinence; success rate; transobturator tape