Obesity and outcomes after sacrocolpopexy

Catherine S. Bradley; Kimberly S Kenton; Holly E Richter; Xin Gao; Halina M Zyczynski; Anne M Weber; Ingrid E Nygaard

doi:10.1016/j.ajog.2008.07.030

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Obesity and outcomes after sacrocolpopexy

Journal article

Peer reviewed

Obesity and outcomes after sacrocolpopexy

Catherine S. Bradley, Kimberly S Kenton, Holly E Richter, Xin Gao, Halina M Zyczynski, Anne M Weber and Ingrid E Nygaard

American Journal of Obstetrics and Gynecology, Vol.199(6), pp.690.e1-690.e8

12/01/2008

DOI: 10.1016/j.ajog.2008.07.030

PMID: 18845288

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https://www.ncbi.nlm.nih.gov/pmc/articles/2918409View

Open Access

Abstract

<p>OBJECTIVE: The purpose of this study was to compare outcomes after sacrocolpopexy (SC) between obese and healthy-weight women. STUDY DESIGN: Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspension in stress continent women with stages II-IV prolapse. Outcomes and complications were compared between obese and healthy-weight women. RESULTS: CARE participants included 74 obese (body mass index >/=30 kg/m(2)), 122 overweight (25-29.9 kg/m(2)), and 125 healthy-weight (18.5-24.9 kg/m(2)) women, and 1 underweight (< 18.5 kg/m(2)) woman. Compared to healthy-weight women, obese women were younger (59.0 +/- 9.9 vs 62.1 +/- 10.3 yrs; P = .04), more likely to have stage II prolapse (25.7% vs 11.2%; P = .01), and had longer operative times (189 +/- 52 vs 169 +/- 58 min; P = .02). Two years after surgery, stress incontinence, prolapse, symptom resolution, and satisfaction did not differ between the obese and healthy-weight groups. CONCLUSION: Most outcomes and complication rates after SC are similar in obese and healthy-weight women.</p>

Obstetrics and Gynecology

Aged

Body Mass Index

Colposcopy/methods

Female

Follow-Up Studies

Humans

Middle Aged

Obesity/complications/diagnosis

Postoperative Complications/epidemiology/etiology

Reference Values

Risk Assessment

Severity of Illness Index

Suburethral Slings

Surgical Mesh

Time Factors

Treatment Outcome

Urinary Incontinence

Stress/diagnosis/surgery

Urodynamics

Urologic Surgical Procedures/adverse effects/methods

Uterine Prolapse/diagnosis/surgery

Details

Title: Subtitle: Obesity and outcomes after sacrocolpopexy
Creators: Catherine S. Bradley - University of Iowa
Kimberly S Kenton
Holly E Richter
Xin Gao
Halina M Zyczynski
Anne M Weber
Ingrid E Nygaard
Resource Type: Journal article
Publication Details: American Journal of Obstetrics and Gynecology, Vol.199(6), pp.690.e1-690.e8
DOI: 10.1016/j.ajog.2008.07.030
PMID: 18845288
NLM abbreviation: Am J Obstet Gynecol
ISSN: 1097-6868
Language: English
Date published: 12/01/2008
Academic Unit: Epidemiology; Obstetrics and Gynecology; Urology
Record Identifier: 9983557307802771

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