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Abstract
Objective
To inquire whether obesity is a risk factor of peri- and post-operative complications following Mid-urethral sling (MUS) surgeries for SUI repair using the Clavien-Dindo classification system (CDcs).
Methods
This retrospective cohort included 304 women who undergone a MUS in a 1000 beds tertiary University medical center between the years 2012–2018. Univariate analysis was conducted to compare clinical and operative traits by BMI group and to examine associations of obesity and complications rates and severity according to the CDcs. Multivariate analysis was conducted to assess the risk for post-operative complications and adjust to potential confounders.
Results
The study group included 106 (34.9%) women with BMI 30 or higher and the comparison group included 198 (65.1%) women with BMI lower than 30. In the study group we found a significantly higher prevalence of hypertension (P = 0.019), previous abdominal surgeries (P = 0.012) including cesarean section (P = 0.025), previous pelvic floor surgeries (P = 0.005) and pelvic organ prolapse (P = 0.02). In the control group we found a significantly higher rates of concomitant hysterectomy which performed during the MUS (P = 0.005). Obesity was not associated with increased rates of peri and post-operative complications (P = 0.973).
Conclusions
In our study, obesity was not associated with peri- and post-operative complications following MUS.
Details
; Shelef, Goni 1 ; Sade, Shanny 2 ; Shoham-Vardi, Ilana 3 ; Weintraub, Adi Yehuda 2 1 Ben-Gurion University of the Negev, Department of Public Health, Faculty of Health Sciences, Beer Sheva, Israel (GRID:grid.7489.2) (ISNI:0000 0004 1937 0511); Soroka University Medical Center, Ben-Gurion University of the Negev, Department of Obstetrics and Gynecology, Faculty of Health Sciences, Beer Sheva, Israel (GRID:grid.7489.2) (ISNI:0000 0004 1937 0511)
2 Soroka University Medical Center, Ben-Gurion University of the Negev, Department of Obstetrics and Gynecology, Faculty of Health Sciences, Beer Sheva, Israel (GRID:grid.7489.2) (ISNI:0000 0004 1937 0511)
3 Ben-Gurion University of the Negev, Department of Public Health, Faculty of Health Sciences, Beer Sheva, Israel (GRID:grid.7489.2) (ISNI:0000 0004 1937 0511)