Home > Journals > Minerva Obstetrics and Gynecology > Past Issues > Minerva Ginecologica 2017 December;69(6) > Minerva Ginecologica 2017 December;69(6):533-7

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as
Share

 

ORIGINAL ARTICLE   

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


PDF


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

top of page