E-Posters-10088

10088_Devakumar

Pdf Summary

This study aimed to evaluate the long-term outcomes of pelvic organ prolapse (POP) surgery in obese individuals compared to non-obese individuals. The researchers conducted a retrospective review of a prospective Urogynecology database at a single institution between 2003-2015. The subjects included those with a diagnosis of vaginal vault prolapse who underwent surgical treatment.<br /><br />The primary outcome of success was defined as < stage 2 (POP Q) and a patient reported satisfaction of 'cured' or 'greatly improved', 'somewhat improved' on a validated patient satisfaction score. The statistical analysis used included Pearson's chi-square or Fisher's exact test for categorical variables, Wilcoxon for nonparametric variables, and student t-test for continuous variables.<br /><br />The results of the study indicated that the outcomes of surgical correction of vaginal vault prolapse were not different between obese and non-obese individuals. The complication rates, recurrence rates, and the primary outcome of success were comparable between the two groups. The most common compartment to fail in both groups was the anterior compartment.<br /><br />The study included a total of 674 subjects, with 542 in the non-obese group and 132 in the obese group. The mean follow-up was 165 weeks for the non-obese group and 180 weeks for the obese group. In the obese group, 13% had diabetes, and vaginal repair was more commonly performed compared to the non-obese group. There was no significant difference in re-intervention rates and complications between the two groups.<br /><br />In conclusion, this study suggests that BMI does not significantly impact the outcomes of pelvic organ prolapse surgery. The findings highlight the importance of considering surgical options for obese individuals with POP and provide valuable information for clinical decision-making in this population.

Keywords

pelvic organ prolapse surgery

long-term outcomes

obese individuals

non-obese individuals

retrospective review

vaginal vault prolapse

success criteria

complication rates

diabetes

clinical decision-making