The association between personal history and the outcomes of transobturator sling surgery
| Autor: | Paula da Silva Feitosa, Cristiane Regina Barros, Thomaz Rafael Gollop, Ana Carolina Marchesini, Nicolle Henriques Barreto Colaço |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
medicine.medical_specialty Sexual Behavior Urinary Incontinence Stress Paridade Suburethral Sling Urinary incontinence 030232 urology & nephrology Transobturator sling Body Mass Index 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Obesity Incontinência urinária Aged Retrospective Studies Aged 80 and over Suburethral Slings Slings suburetrais lcsh:R5-920 030219 obstetrics & reproductive medicine Obstetrics business.industry Smoking Age Factors Retrospective cohort study General Medicine Middle Aged medicine.disease Menopause Parity Logistic Models Treatment Outcome Obesidade Female medicine.symptom Suburethral slings Parity (mathematics) business lcsh:Medicine (General) Body mass index Menopausa |
| Zdroj: | Revista da Associação Médica Brasileira, Vol 65, Iss 6, Pp 864-869 Revista da Associação Médica Brasileira v.65 n.6 2019 Revista da Associação Médica Brasileira Associação Médica Brasileira (AMB) instacron:AMB |
| ISSN: | 1806-9282 |
| Popis: | SUMMARY 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|