E-Posters-Effect of BMI on Long-Term Success and Complications Rates Following Minimally Invasive Sacrocolpopexy

Effect of BMI on Long-Term Success and Complications Rates Following Minimally Invasive Sacrocolpopexy - Radhika Patnam, MD

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This study aimed to compare the success and complication rates of minimally invasive sacrocolpopexy based on body mass index (BMI). The researchers included all women who underwent this procedure at the University of North Carolina between 2006-2016. Three groups were compared based on BMI: Normal Weight (BMI <25), Overweight (BMI 25-30), and Obese (BMI >30). The primary outcome was defined as a composite of POPQ stage <1 and no report of bulge symptoms at the latest follow-up. Secondary outcomes included intraoperative complications, six-week postoperative complications, and mesh exposure at any time point. <br /><br />The findings showed that success rates were high in all three BMI groups, with no significant difference between them. Complication rates also did not differ based on BMI. However, there was a higher occurrence of mesh exposure in obese women compared to overweight and normal-weight women. <br /><br />The study included a total of 431 women, and the median length of follow-up was 49 weeks. The most common complications observed were urinary tract infections (UTI) and superficial skin infections. Mesh exposure occurred in 21 (5%) of the women, with a higher risk in obese women (10%) compared to overweight (3%) and normal-weight (4%) women. <br /><br />In conclusion, BMI did not have a significant impact on the success and complication rates following minimally invasive sacrocolpopexy. However, there was a higher risk of mesh exposure in obese women. These findings suggest that BMI may not be a determining factor for the outcomes of this procedure, but special attention should be given to obese patients to minimize the risk of mesh exposure.

Keywords

minimally invasive sacrocolpopexy

body mass index

success rates

complication rates

normal weight

overweight

obese

primary outcome

secondary outcomes

mesh exposure