Effects of bariatric surgery on urinary and sexual function

Abstract

P < 0.0001). In females there were significant improvements in the ICIQ-SF ( P = 0.0008) and Quality of Life ( P < 0.0001) scores. For each kilogram lost there was a 0.05 improvement in the ICIQ score ( P = 0.03) in females. There were also postoperative improvements in all symptoms of UI and stress incontinence in females but urge incontinence worsened, when adjusted for weight loss. In males there was no improvement in UI with weight loss after LGB. There was no relationship with time and UI in either gender; 83.3% of males reported a degree of ED before LGB. There was improvement in the IIEF score in males post LGB but there was worsening of erectile index ( P = 0.005) and orgasmic function ( P = 0.002) when adjusted for time. More males had started using phosphodiesterase type 5 inhibitors, post-LGB. CONCLUSIONSSurgically induced weight loss by LGB improved overall UI, quality of life and stress incontinence in females but urge incontinence worsened. There was no improvement in UI with weight-loss or overall sexual function after LGB in males. However, erectile index and orgasmic function worsened when adjusted for time. Further evaluation is required by means of larger prospective studies involving urodynamic testing. KEYWORDSobesity, bariatric surgery, laparoscopic gastric banding surgery, urinary incontinence, erectile function, sexual function What's known on the subject? and What does the study add? Obesity is a known risk factor for Urinary Incontinence. Non surgical weight loss has been shown to reduce Urinary Incontinence, but there is only limited evidence for surgically induced weight loss. This study aims to clarify the effects of surgically induced weight loss on urinary and erectile function.Study Type -Symptom prevalence (non-consecutive cohort) Level of Evidence 4 OBJECTIVETo investigate the effects of weight loss and time post laparoscopic gastric banding surgery (LGB) on urinary and sexual function. MATERIALS AND METHODS females and 145 males who underwentLGB over the last 10 years at a single centre in Australia were contacted by post and asked to complete validated questionnaires. RESULTSThe pre-surgery body-mass index (BMI) was higher in males than females (47.3 vs 43.5); 65% of the females and 24% of males previously had some degree of urinary incontinence (UI). There were significant weight and BMI losses in males and females (23.2 kg and 7.51 vs 22.7 kg and 8.28;

Early Effect of Bariatric Surgery on Urogenital Function in Morbidly Obese Men

“…A longer study of 10 years has shown a decline in erectile function most probably due to ageing 34 . A recent study has shown a significant effect at 3 months 22 .…”

Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study

“…Ranasinghe et al (24) performed laparosopic gastric banding in 653 female patients, and reported postoperative improvements in their ICIQ-SF scores. In our study, we also detected improvements in postoperative ICIQ-SF scores when compared with the preoperative values.…”

“…This scoring system consists of 8 items, which are rated as mild (0-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) and severe (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) symptomatic. Severity of symptoms and their progression within a specific time period are compared.…”

Efeitos da cirurgia bariátrica na função do assoalho pélvico

“…In Brazil, about half of the adult population were overweight in 2008-2009, of which approximately 30% were obese 12 . Obese people are at a higher risk for developing various comorbidities: type II diabetes, dyslipidemia, cardiovascular and cerebrovascular diseases, coagulation disorders, degenerative joint disease, some types of cancer, sleep apnea and urinary incontinence 4,20 . Women suffering from obesity are more likely to develop urinary incontinence, especially when related to stress 7,16,23 .…”

“…It is believed that weight reduction may be an effective treatment for urinary incontinence 24 . In obese, studies show that after massive, surgically induced weight loss, there is resolution or alleviation of the symptoms of urinary incontinence 14,15,20,22,26,27 . Urinary incontinence usually leads to withdrawal from social interaction, psychosocial frustrations and early institutionalization.2 Therefore, its diagnosis and treatment are particularly important in women with morbid obesity, contributing to the improvement of quality of life 1,13,17,20,26,27 .…”