E-Posters-BMI and Post-operative Quality of Life Outcomes in Women Receiving Tension-Free Vaginal Tape (TVT) Slings for Isolated Stress Urinary Incontinence

BMI and Post-operative Quality of Life Outcomes in Women Receiving Tension-Free Vaginal Tape (TVT) Slings for Isolated Stress Urinary Incontinence - Margaret Wilkes, MD

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This study aimed to investigate the effects of stress urinary incontinence (SUI) on the quality of life of women receiving a tension-free vaginal tape (TVT) sling for treatment. The study analyzed demographic data and pre- and post-operative questionnaire responses from 204 women who underwent TVT slings between 2008 and 2018. The study found that overweight and obese women had higher scores on quality of life questionnaires before surgery, but there was no difference in quality of life improvement among women with varying body mass indexes (BMI) who received TVT slings. Overweight women with a BMI between 25.0-29.9kg/m2 showed a noticeable increase in quality of life improvement compared to normal weight women, but this trend did not continue among obese women. The study had limitations, including its small size and the lack of post-operative cough stress test results to correlate objective and subjective results. The inclusion of only one practice also limits the generalizability of the study's conclusions. Overall, these findings suggest that BMI does not significantly impact the improvement of quality of life in women undergoing TVT sling placement for SUI.

Keywords

stress urinary incontinence

quality of life

tension-free vaginal tape

TVT sling

treatment

demographic data

pre-operative questionnaire

post-operative questionnaire

body mass index

BMI