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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2017 December;69(6):533-7

DOI: 10.23736/S0026-4784.17.04081-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Mini-sling efficacy in obese versus non-obese patients for treatment of stress urinary incontinence

Matteo FRIGERIO 1, 2, Cristina REGINI 3, Stefano MANODORO 2 , Federico SPELZINI 1, 4, Rodolfo MILANI 1, 2

1 University of Milano-Bicocca, Milan, Italy; 2 ASST Monza, San Gerardo Hospital, Monza, Italy; 3 University of Siena, Siena, Italy; 4 AUSL Romagna, Infermi Hospital, Rimini, Italy


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BACKGROUND: The impact of obesity on single-incision has been object of concerns. The aim of the study was to compare the outcomes of MiniArc single-incision sling in normal weight, overweight and obese patients.
METHODS: This retrospective study analyzed women with proven stress urinary incontinence (SUI). Patients were divided into three groups according to BMI: normal weight (group A), overweight (group B) and obese (group C). Objective cure rate was assessed with stress test and subjective cure rate was determined by ICIQ-SF and PGI-I scores. Postoperative overactive bladder syndrome and voiding symptoms were recorded.
RESULTS: One hundred ninety-two patients were analyzed (A=97; B=68; C=27). Mean follow-up was 23.2 months without differences among groups. Estimated blood loss and operative time were not influenced by BMI. No bladder perforation were observed. Objective cure rate (A=87.6%; B=86.8%; C=81.5%) and subjective outcomes resulted similar irrespective of BMI class. De novo onset of overactive bladder syndrome and voiding symptoms were reported without significant differences among groups.
CONCLUSIONS: The current study showed that single-incision sling Miniarc seems to be an effective treatment irrespective of BMI. Operative data, complications, objective and subjective outcomes were similar for normal weight, overweight and obese women.


KEY WORDS: Obesity - Suburethral slings - Urinary incontinence, stress

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Publication History

Issue published online: October 24, 2017
Article first published online: June 9, 2017
Manuscript accepted: May 24, 2017
Manuscript received: April 29, 2017

Cite this article as

Frigerio M, Regini C, Manodoro S, Spelzini F, Milani R. Mini-sling efficacy in obese versus non-obese patients for treatment of stress urinary incontinence. Minerva Ginecol 2017;69:533-7. DOI: 10.23736/S0026-4784.17.04081-3

Corresponding author e-mail

stefano.manodoro@gmail.com