title: Efficacy and safety of the trans-obturator TVT-Abbrevo device in normal weight compared to overweight patients affected by stress urinary incontinence.
abstract: OBJECTIVE
  To investigate if TVT-Abbrevo has similar outcomes in normal weight and overweight patients.
  
  
  METHODS
  Retrospective evaluation of 205 (105 normal weight women and 100 overweight women with BMI ≥ 25 kg/m(2)) undergone TVT-Abbrevo positioning with 12 month follow-up. Primary outcomes were objective cure rate (defined as no leakage during CST) and subjective cure rate ("very much improved"/"much improved" at PGI-I), secondary outcomes were intra-operative and post-operative complications.
  
  
  RESULTS
  Objective cure rates in the normal and overweight groups were 96.2% and 94%, respectively (p=.47). Subjective cure rates in the normal and overweight groups were 90.5% and 88%, respectively (p=.57). ICIQ-SF, I-QoL and PGI-S scores significantly improved in both groups with no differences between the two groups. No serious intra- or post-operative complications were observed. No differences were observed in pain VAS scores and number of analgesic vials administered.
  
  
  CONCLUSIONS
  TVT-Abbrevo seems to have similar efficacy and safety in normal weight and overweight women. More studies are needed to assess the efficacy of this device in frankly obese women and long-term outcomes.
authors.affiliation: Department of Obstetrics, Gynecology, and Urology, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy. Electronic address: gtommaselli@yahoo.it.
authors.forename: Giovanni A
authors.initials: GA
authors.lastname: Tommaselli
authors.affiliation: Urogynecology Service, Department of Obstetrics and Gynaecology, San Giovanni Evangelista Hospital, Via Parrozzani, 5, 00019 Tivoli (RM), Italy.
authors.forename: Valerio
authors.initials: V
authors.lastname: Napolitano
authors.affiliation: Department of Obstetrics, Gynecology, and Urology, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.
authors.forename: Costantino
authors.initials: C
authors.lastname: Di Carlo
authors.affiliation: Department of Obstetrics, Gynecology, and Urology, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.
authors.forename: Carmen
authors.initials: C
authors.lastname: Formisano
authors.affiliation: Department of Obstetrics, Gynecology, and Urology, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.
authors.forename: Annamaria
authors.initials: A
authors.lastname: Fabozzi
authors.affiliation: Department of Obstetrics, Gynecology, and Urology, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy; Department of Public Health, Univesity of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D050177:Overweight / Q000150:complications; D011183:Postoperative Complications; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods
keywords: BMI; Overweight; Stress urinary incontinence; TVT-Abbrevo