Abstract:

The purpose of this study is to compare the anatomical outcome of robotic sacrocolpopexy for pelvic organ prolapse in women with a body mass index (BMI) of 30 and higher to those with a BMI under 30. This is a retrospective chart review. POP-Q measurements preoperatively and 12 months postoperatively were evaluated using non-parametric statistical analysis. The primary outcome was to compare postoperative POPQ measurements at 12 months following surgery. Secondary outcomes were age at the time of surgery, mesh erosion rate, blood loss, length of hospital stay, and baseline anatomical support. A total of 71 patients were identified: 44 patients had a BMI below 30, and 27 had a BMI equal to or greater than 30. We found no significant relationship between BMI and anatomical support at 12 months post operation. However, obese patients were younger at the time of prolapse surgery (53.6 versus 60.6 years of age, p=0.0022). In regards to the ICS prolapse stage, no difference was found between obese and non-obese patients (2.81 versus 2.95, p=0.17).

Authors:

Ali Azadi, MD, MSc, Assistant Professor, Associate Director of Residency Program, Department of Obstetrics and Gynecology and Women’s Health, University of Louisville, Louisville, KY, Sean L. Francis, MD, Associate Professor, Division Chief & Fellowship Director, FPMRS, Department of Obstetrics and Gynecology and Women’s Health, University of Louisville, Louisville, KY, Kira C. Taylor, PhD, Assistant Professor, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, Sara I. Diaz, MD, MSc, Female Pelvic Medicine and Reconstructive Surgery, Urology of Indiana, Greenwood, IN , Resad Pasic, MD, PhD, Professor, Department of Obstetrics and Gynecology and Women’s Health, University of Louisville, Louisville, KY, Taraneh Yeganeh, MS, College of Arts and Science, University of Louisville, Louisville, KY, Donald R. Ostergard, MD, Professor, Harbor-UCLA Medical Center, Torrance CA

PMID:  24700227

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