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Rev Assoc Med Bras (1992). 2019 Jul 22;65(6):864-869. doi: 10.1590/1806-9282.65.6.864.

The association between personal history and the outcomes of transobturator sling surgery.

Author information

1
Undergraduate students of the fourth year of the medical program of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil.
2
Graduate in physical therapy and masters student at the Jundiaí Medical Faculty; Jundiaí, SP, Brasil.
3
Associate professor of the gynecology course of the obstetrics and gynecology department of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil.
4
Adjunct professor of the gynecology course of the obstetrics and gynecology department of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil.

Abstract

OBJECTIVE:

This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes.

PATIENTS AND METHODS:

A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment.

RESULTS:

A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004).

CONCLUSIONS:

among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.

PMID:
31340318
DOI:
10.1590/1806-9282.65.6.864
[Indexed for MEDLINE]
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