E-Posters-Association between Body Mass Index and Pelvic Organ Prolapse Recurrence after Apical Prolapse Repair

Association between Body Mass Index and Pelvic Organ Prolapse Recurrence after Apical Prolapse Repair - Nina Durchfort Metcalfe, MD, MS

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This study aimed to investigate the association between body mass index (BMI) and recurrence of pelvic organ prolapse (POP-R) after apical prolapse repair. The study included 394 female patients who underwent surgery for apical prolapse at a single institution from 2011 to 2016. Patients were categorized as obese (BMI≥30 kg/m2) and non-obese, and bivariable analysis was performed to compare those who developed POP-R and those who did not. Cox proportional hazard models were then used to estimate hazard ratios (HR) for time to POP-R, with adjustment for potential confounders.<br /><br />The results showed that BMI does not appear to be an independent risk factor for POP-R. Other factors such as smoking and intraoperative complications were found to be associated with an increased risk of POP-R. The study emphasized the need for larger prospective studies with longer follow-up to fully understand the relationship between body weight and POP-R.<br /><br />Additional findings from the study showed that 10% of patients developed POP-R, with a median follow-up time of 7 months. The patients included in the study were predominantly Caucasian (65%) and 36% were obese.<br /><br />In conclusion, this study suggests that BMI is not a significant independent risk factor for POP-R after apical prolapse repair. The findings highlight the importance of considering other factors such as smoking and intraoperative complications in predicting the risk of POP-R. Larger and longer-term studies are needed to provide more comprehensive insights into the relationship between body weight and POP-R.

Keywords

body mass index

BMI

recurrence

pelvic organ prolapse

POP-R

apical prolapse repair

obese

smoking

intraoperative complications

prospective studies