Is bariatric surgery the answer to urinary incontinence in obese women?

Autor: Asnat Groutz, Pinhas Schachter, David Gordon, Mordechai Shimonov
Rok vydání: 2015
Předmět:
Zdroj: Neurourology and Urodynamics. 36:184-187
ISSN: 0733-2467
DOI: 10.1002/nau.22909
Popis: Aims To investigate the effect of bariatric surgery on female pelvic floor disorders. Methods Eighty consecutive obese women who underwent a laparoscopic sleeve gastrectomy were prospectively enrolled. Four validated questionnaires (ICIQ-UI, BFLUTS-SF, PFDI-20, PISQ-12) were used to evaluate pelvic floor symptoms before and 6 months after surgery. Outcome results were analyzed according to the presence of preoperative urinary incontinence (UI), defined as a positive answer to the question “how often do you leak urine?” on the ICIQ-UI questionnaire. Results Seventy-seven women (age 41.3 ± 11.5 years; parity 1.9 ± 1.6) completed all pre- and postoperative questionnaires. Mean body mass index (BMI) before and 6 months after surgery was 42 ± 4.7 and 33 ± 4.7, respectively. Preoperatively, 29 (37.7%) women (mean age 45.6 ± 11, mean BMI 42.3 ± 5.2) had UI, 17 (59%) of whom had stress urinary incontinence. Surgically induced weight loss was associated with statistically significant improvement in UI and filling symptoms, pelvic organ prolapse and colorectal-anal scores, and condition-specific sexual function and quality of life parameters. Specifically, the total score of the ICIQ-UI questionnaire decreased from 9.28 ± 3.6 preoperatively to 2.9 ± 3.8 postoperatively (P
Databáze: OpenAIRE
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