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1. Burt VL, Whelton P, Roccella EJ: Prevalence of hypertension in the adult population: results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension 1995; 25: 305313 Hyman DJ, Pavlik VN: The unhealthy lifestyle of people with schizophrenia. N Engl J Med 2001; 345: 479486 MacMahon S, Peto R, Cutler J: Blood pressure, stroke, and coronary heart disease. Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet 1990; 335: 765774 Kannel WB, Castelli WP, McNamara PM: Role of blood pressure in the development of congestive heart failure: The Framingham Study. N Engl J Med 1972; 287: 781787 Joint National Commission: The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997; 157: 24132446 Colhoun HM, Dong W, Poulter NR: Blood pressure screening, management and control in England: results from the health survey for England 1994. J Hypertens 1998; 16: 747752 Marques-Vidal P, Tuomilehto J: Hypertension awareness, treatment and control in the community: Is the `rule of halves' still valid? J Hum Hypertens 1997; 11: 213220 Cramer JA: Consequences of intermittent treatment of hypertension: the case for medication compliance and persistence. J Managed Care 1998; 4: 15631568 DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW: Patient ad, for instance, buy vermox.
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Full cough stress test with a minimum of 200ml bladder volume. Subjective cure was defined as a negative response to the question "Do you ever leak with activity, cough or sneeze?" on a standardized written pelvic floor questionnaire. Objective cure was defined as no leakage of urine on full standing cough stress test. Intraoperative and postoperative complications were reviewed. RESULTS: Two hundred and eighteen women met our inclusion criteria. The obese group included 88 women with a mean BMI of 35.4. The non-obese group included 130 women with a mean BMI of 25.3. Mean length of follow-up for the obese group was 23 months range 6 to 68.6 ; and for the non-obese was 18.4 months range 6 to 72.4 ; . The groups were similar for parity, history of prior incontinence surgery, preoperative urgency and sling materials. The non-obese group was more likely to be older and Asian. Subjective cure was achieved in 63.6% of the obese group and 64.6% of the non-obese p 0.88 ; . Objective cure was achieved in 81.8% of the obese and 77.7% of the non-obese p 0.49 ; . Complications were similar between groups with the exception of cystotomy, which was higher in the non-obese group p 0.05 ; . CONCLUSION: Obesity does not appear to adversely affect outcome following suburethral sling and appears to be protective for intraoperative cystotomy. Disclosure Speaker's Bureau: S.A. Menefee, Boston Scientific; C.R. Powell, Pfizer Oral Poster 38 Comparison of Long-Term Outcomes of Autologous Fascia Lata Slings to Suspend Tutoplasttm Fascia Lata Allograft Slings for Stress Incontinence R.M. Ellerkmann, A.W. McBride, A.E. Bent, & C.F. Melick; Greater Baltimore Medical Center, Balitmore, MD OBJECTIVE: Allografts have been utilized as an alternative to autografts for pubovaginal sling urethropexy to decrease operating time and patient morbidity. We compared the objective and subjective long-term surgical outcomes in patients receiving TutoplastTM fascia lata allograft slings with those receiving autologous fascia lata slings for the treatment of stress urinary incontinence SUI ; with a minimum of 2 year follow up. METHODS: We retrospectively reviewed all patients n 71 ; undergoing pubovaginal sling with either autologous fascia lata n 39 ; or TutoplastTM fascia lata n 32 ; for urodynamically proven SUI from 10 1 98 our practice. Full length slings constructed from either harvested fascia lata autograft ; or TutoplastTM, solvent dehydrated fascia lata allograft ; , were placed under the bladder neck and secured to the abdominal fascia by identical techniques. Multichannel urodynamics with standing stress test at 300 mL, POP-Q, and Q-tip mobility assessment was performed on patients returning for comprehensive evaluation 12 allograft, 17 autograft ; . Additional assessment by Stamey continence grading stress only ; , pad use and incontinence episodes per day, as well as with the short forms of the Incontinence Impact Questionnaire IIQ-7 ; and Urogenital Distress Inventory UDI-6 ; was completed by returning patients and a subset of patients declining exam 9 allograft, 9 autograft ; . RESULTS: Of the original 71 patients eligible, 47 were evaluated by objective and or subjective tools. Mean IIQ-7 scores 4.1 vs 10.3, p .18 ; and mean UDI-6 scores 20.6 vs 20.9, p .95 ; were not significantly different between allograft and autograft patients. Complete subjective stress continence was reported by 90.5% of allograft patients, with 81% using 0 or 1 pad per day. Similarly, 92.3% of patients with autograft slings reported total stress continence and 100% required 0 or 1 pad per day. One or less incontinent episodes per day were reported in 90.5% of allograft patients and 84.6% of autograft patients. Pre- and post-operative maximum urethral closure pressure and Q-tip mobility were not significantly different between the two groups. No difference in the incidence of overactive bladder 35% allograft, 41.2% autograft, p 0.74 ; , nor post-operative urodynamic detrusor overactivity 25% allograft, 11.8% autograft, p .62 ; was seen between the groups. Urodynamic stress.
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