Abstract
The authors 1 Yonguc T. Degirmenci T. Bozkurt I.H. et al. Effectiveness of transobturator tape procedure in obese and severely obese women: 3-year follow-up. Urology. 2015; 86: 244-249 Scopus (5) Google Scholar present their experience on the use of the transobturator tape technique (TOT) in obese women. The populations of women examined were divided into normal weight (body mass index [BMI] <25 kg/m2), obese (BMI = 30-34 kg/m2), and severely obese (BMI ≥35 kg/m2). Patients who were merely overweight (BMI = 25-29 kg/m2) were omitted. The examined population was relatively youthful, with no patient being older than 65 years. Cure was defined by stout criteria including no use of pads, a negative cough stress test, and no further surgical procedures for the incontinence. The authors used the International Consultation on Incontinence-Short Form. Findings included no statistical difference in subjective success (cure and improvement) among the groups. There was a statistical difference in cure rates and improved rates, with the severely obese women experiencing a lower cure rate and a higher improved rate than the other groups. The surgery took a statistically longer time in the severely obese patients. Surgical complication rates were about the same in all the groups. Effectiveness of Transobturator Tape Procedure in Obese and Severely Obese Women: 3-Year Follow-upUrologyVol. 86Issue 2PreviewTo assess the efficacy and safety of transobturator tape (TOT) for the treatment of stress urinary incontinence in severely obese and obese women. Full-Text PDF ReplyUrologyVol. 86Issue 2PreviewWe are pleased to be given the opportunity to state our opinions about the editorial comment.1 According to the World Health Organization report updated in January 2015, the worldwide prevalence of obesity more than doubled between 1980 and 2014. In 2014, more than 1.9 billion adults, 18 years and older, were overweight. Of these, over 600 million were obese. Observational studies suggest that obesity is a strong risk factor for urinary incontinence.2 The prevalence of stress urinary incontinence (SUI) is increased with higher body mass index. Full-Text PDF
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