{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:30Z","timestamp":1787028630355,"version":"build-2736575974"},"reference-count":37,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of this study was to compare reoperation risks after pelvic organ prolapse repair at 5-year follow-up between obese, overweight, and normal-weight women and to assess these risks accounting for the surgical procedure. We performed a retrospective chart review of all the women who underwent POP repair by transvaginal mesh surgery between January 2005 and January 2009 or laparoscopic sacrocolpopexy between January 2003 and December 2013 at the Gynecologic Surgery Department of the Lille University Hospital. During the study period, 744 women who underwent POP repair were divided into three groups: 382 (51%), 240 (32%), and 122 (16%) in the nonobese group (BMI &lt; 25 kg\/m\u00b2), overweight group (25 kg\/m\u00b2 \u2264 BMI &lt; 30 kg\/m\u00b2), and obese group (BMI \u2265 30 kg\/m\u00b2), respectively. The primary outcome was global reoperation. The median duration of follow-up was 87 months. The risks of global reoperation did not significantly differ between the three BMI groups (adjusted HR (95% CI): 1.12 (0.69 to 1.82) for overweight women and 0.90 (0.46 to 1.74) for obese women compared to normal-weight women, adjusted p = 0.80), nor among the women who underwent transvaginal mesh surgery or laparoscopic sacrocolpopexy. The risks of reoperation for POP recurrence, stress urinary incontinence, or mesh-related complications did not significantly differ between the three BMI groups in the overall population nor accounting for the surgical procedure. In conclusion, obesity does not seem to be a risk factor of reoperation for POP recurrence, SUI, or mesh-related complications in the long term regardless of the surgical approach.<\/jats:p>","DOI":"10.3390\/jcm11226867","type":"journal-article","created":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T03:13:41Z","timestamp":1669086821000},"page":"6867","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long-Term Assessment of Pelvic Organ Prolapse Reoperation Risk in Obese Women: Vaginal and Laparoscopic Approaches"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3341-5267","authenticated-orcid":false,"given":"Marine","family":"Lallemant","sequence":"first","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9raldine","family":"Giraudet","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1008-9865","authenticated-orcid":false,"given":"Victoire","family":"Delporte","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"Behal","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Publique: Epid\u00e9miologie et Qualit\u00e9 des Soins, Unit\u00e9 de Biostatistiques, University of Lille, France CHU Lille, EA 2694, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrystele","family":"Rubod","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Delplanque","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohan","family":"Kerbage","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Cosson","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S102","DOI":"10.1161\/01.cir.0000437739.71477.ee","article-title":"2013 AHA\/ACC\/TOS guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines and The Obesity Society","volume":"129","author":"Jensen","year":"2014","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1001\/jama.2012.39","article-title":"Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999\u20132010","volume":"307","author":"Flegal","year":"2012","journal-title":"JAMA"},{"key":"ref_3","unstructured":"(2022, September 25). 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