E-Posters-10250_ElShatanoufy

10250_ElShatanoufy

Pdf Summary

Morbid obesity is associated with an increased risk of failure in mid-urethral sling procedures for stress urinary incontinence (SUI) compared to normal weight patients. However, there is no significant difference in the risk of peri-operative, short-term, or long-term post-operative complications across all body mass index (BMI) categories. <br /><br />This study, conducted between 2008-2015, included 435 patients who underwent a sling procedure. Of these, 49 patients were morbidly obese (BMI≥40), 164 had a BMI of 30-39, and 99 had a BMI ≤25. The mean follow-up time was 52 months.<br /><br />The results showed that there was no difference in the failure rate between normal weight, overweight, and class 1 and 2 BMI categories. However, morbid obesity was associated with an increased risk of failure compared to normal weight patients. The odds ratio for failure in morbidly obese patients was 2.38.<br /><br />BMI category was not a significant predictor of peri-operative, short-term post-operative, or long-term post-operative complications. This finding remained consistent even after controlling for other comorbidities such as diabetes mellitus, smoking status, and chronic obstructive pulmonary disease.<br /><br />In conclusion, this study suggests that morbidly obese patients may have a higher risk of failure in mid-urethral sling procedures for SUI compared to normal weight patients. However, there is no increased risk of complications associated with BMI category. Further research is needed to better understand the factors influencing the efficacy of these procedures in morbidly obese patients.

Keywords

morbid obesity

mid-urethral sling procedures

stress urinary incontinence

BMI categories

peri-operative complications

short-term complications

long-term complications

failure rate

odds ratio

comorbidities