The very obese woman and the very old woman: Tension-free vaginal tape for the treatment of stress urinary incontinence
2007 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 18, no 4, 423-429 p.Article in journal (Refereed) Published
A mailed questionnaire was sent to 970 consecutive women who underwent a tension-free vaginal tape (TVT) procedure between 1995 and 2001 at the Department of Obstetrics and Gynecology in Falun Hospital. Seven hundred and sixty (78.4%) women responded. The outcome was compared between women older than 75 years (n=113) and younger women, and between women with a body mass index (BMI) above 35 (n=61) and those who had normal weight. Mean follow-up was 5.7 years. Thirty-six elderly women and one of the obese women were deceased at the long-term follow-up. TVT was easy to perform and was a safe procedure for women in all groups. There was a sharp decrease in cure rate of any urinary incontinence problems among women aged 75 years or more (55.7%), as compared to those who were younger (79.7%). The cure rate moderately decreased from BMI groups 19–24 to 30–34. BMI ≥35 seemed to be the best explanatory cutoff level. The overall cure rate in women of normal weight was 81.2%, as compared to 52.1% in the very obese. The cure rate for urinary incontinence with tension-free vaginal tape in women above 75 years of age and in women with a BMI above 35 was acceptable, but lower as compared to the remaining study population.
Place, publisher, year, edition, pages
2007. Vol. 18, no 4, 423-429 p.
Urinary incontinence, Tension-free vaginal tape, Obesity, Aged
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-10385DOI: 10.1007/s00192-006-0162-2ISI: 000244724400011PubMedID: 16868657OAI: oai:DiVA.org:uu-10385DiVA: diva2:38153