{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:50:53Z","timestamp":1784685053829,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009963","name":"Forskning och Utveckling, Halland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009963","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>High body mass index (BMI) is a risk\u2010factor for stress urinary incontinence (SUI). Mid\u2010urethral sling (MUS) surgery is an effective treatment of SUI. The aim of this study was to investigate if there is an association between BMI at time of MUS\u2010surgery and the long\u2010term outcome at 10\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Women who went through MUS surgery in Sweden between 2006 and 2010 and had been registered in the Swedish National Quality Register of Gynecological Surgery were invited to participate in the 10\u2010year follow\u2010up. A questionnaire was sent out asking if they were currently suffering from SUI or not and their rated satisfaction, as well as current BMI. SUI at 10\u2009years was correlated to BMI at the time of surgery. SUI at 1 year was assessed by the postoperative questionnaire sent out by the registry. The primary aim of the study was to investigate if there is an association between BMI at surgery and the long\u2010term outcome, subjective SUI at 10\u2009years after MUS surgery. Our secondary aims were to assess whether BMI at surgery is associated with subjective SUI at 1\u2010year follow\u2010up and satisfaction at 10\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The subjective cure rate after 10\u2009years was reported by 2108 out of 2157 women. Higher BMI at the time of surgery turned out to be a risk factor for SUI at long\u2010term follow\u2010up. Women with BMI &lt;25 reported subjective SUI in 30%, those with BMI 25\u2014&lt;30 in 40%, those with BMI 30\u2014&lt;35 in 47% and those with BMI \u226535 in 59% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Furthermore, subjective SUI at 1 year was reported higher by women with BMI \u226530, than among women with BMI &lt;30 (33% vs. 20%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Satisfaction at 10\u2010year follow\u2010up was 82% among women with BMI &lt;30 vs 63% if BMI \u226530 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found that higher BMI at the time of MUS surgery is a risk factor for short\u2010 and long\u2010term failure compared to normal BMI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14883","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T06:51:07Z","timestamp":1718175067000},"page":"1657-1663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Obesity as an independent risk factor for poor long\u2010term outcome after mid\u2010urethral sling surgery"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0290-9268","authenticated-orcid":false,"given":"Anna","family":"Lundmark\u00a0Drca","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Westergren\u00a0S\u00f6derberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Ek","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-0528.2003.02327.x"},{"key":"e_1_2_12_3_1","unstructured":"Statistik om \u00f6vervikt och fetma hos vuxna. Accessed January 2024.www.folkhalsomyndigheten.se2023."},{"key":"e_1_2_12_4_1","unstructured":"State of Obesity 2023: Better Policies for Healthier America \u2013 TFAH. Trust for America's Health. Accessed January 2024.https:\/\/www.tfah.org."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16848"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0762-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3161-y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0207185"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2820-8"},{"key":"e_1_2_12_10_1","unstructured":"Bennet Bark A.T\u00e4ckningsgrader (Coverage rates). 2016: 17\u201323 pp."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01481.x"},{"key":"e_1_2_12_12_1","unstructured":"A healthy lifestyle \u2013 WHO recommendations. 2010. 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