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J Reprod Med. 2013 May-Jun;58(5-6):195-9.

Obesity as a risk for the recurrence of anterior vaginal wall prolapse after anterior colporrhaphy.

Author information

  • 1Department of Obstetrics and Gynecology, Duke University Medical Center, Box 3192, 5324 McFarland Drive, Suite 300, Durham, NC 27707, USA. amie.kawasaki@duke.edu

Abstract

OBJECTIVE:

To determine whether obese body mass index is associated with the recurrence of anterior vaginal wall prolapse after anterior colporrhaphy.

STUDY DESIGN:

We conducted a retrospective cohort study of the risk of recurrent anterior prolapse 6 months after anterior colporrhaphy in normal weight/overweight versus obese women from January 2004 to December 2010. Women who underwent a concurrent apical prolapse procedure were excluded. Data were abstracted regarding sociodemographics, physical examination, operative reports, and postoperative follow-up visits.

RESULTS:

Of 282 subjects 192 (68%) were normal/overweight and 90 (32%) were obese. Median time of follow-up was 1.8 months (interquartile range [IQR] 1.4-6.2) in the normal/overweight group and 2.0 months (IQR 1.4-5.9) in the obese group. The overall risk of recurrent prolapse was 15.2%. In bivariate analysis there was a trend towards higher recurrence in the obese versus the normal/overweight cohort (21.1% vs. 12.5%, p = 0.06). In the logistic regression model, which adjusted for age, race, diabetes, constipation, cigarette use, concurrent sling, and prior hysterectomy, obesity became significantly associated with recurrent anterior prolapse (odds ratio 2.5, 95% confidence interval 1.2-5.3).

CONCLUSION:

The risk of recurrence after anterior colporrhaphy is relatively high in the short-term. Obesity is associated with increased odds of anatomic recurrence of anterior vaginal wall prolapse.

PMID:
23763002
[PubMed - indexed for MEDLINE]
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