복압성 요실금을 가진 한국 여성에서 체질량 지수에 따른 중부요도 슬링수술의 결과 = Outcome of mid-urethral sling procedures in Korean women with stress urinary incontinence according to body-mass index

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study is to determine whether the outcome of the mid-urethral sling procedures
may be influenced by the body-mass index in Korean women with stress urinary incontinence (SUI).
Materials and Methods: A total of 285 women 28 to 80 years old with a minimum follow-up of 6 months
were included in the study. Patients were stratified as follows: normal weight, 18.5∼23 kg/m2; overweight, 23∼
27.5 kg/m2; obesity, 27.5 kg/m2 or higher.
Results: There was no significant complication. Bladder perforations were noted in 11 cases (4.9%, 3.8% and
2.2% in the normal weight, overweight and obesity group, p=0.449). There was no significant difference between
the three groups for cure rate (p=0.173). The rates of postoperative urinary retention were 9.9%, 10.1% and 15.6%
in the normal weight, overweight and obesity group (p=0.396). No significant difference was found between the
three groups in the persistence of urgency (p=0.312). Seventy-nine patients (27.7%) had symptoms suggestive
of voiding disorder, postoperatively. The incidence of these symptoms was not significant difference in the three
groups (p=0.106).
Conclusion: Our results demonstrate the feasibility and safety of the mid-urethral sling procedures for obese
Korean women with SUI. Additional studies, including prospective randomized trials with longer follow-up, are
needed to verify these findings. (J. Korean Continence Society 2005;9:28-33)

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