Long-term quality of life and pelvic floor dysfunction after bariatric surgery

Olivera, Cedric K.; Herron, Daniel M.; Kini, Subhash; Vardy, Michael D.; Ascher‐Walsh, Charles; Garely, Alan D.; Ginath, Shimon; Brodman, Michael

doi:10.1016/j.ajog.2012.06.041

Cited by 32 publications

(27 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, there were no significant differences in sexual function scores, before and after surgery. Olivera et al investigated 36 women before and 2.76–3.83 years after bariatric surgery . Although urinary scores significantly improved, colorectal–anal and POP scores did not improve postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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

Shimonov

Groutz

Schächter

et al. 2015

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

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

Shimonov

Groutz

Schächter

et al. 2015

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…From 817 potentially relevant reports, 35 studies (all observational; no randomised trials) were eligible . Of these 35, we excluded two studies in this systematic review: Shimonov et al.…”

Section: Resultsmentioning

confidence: 99%

“…Table presents descriptions of the 33 included studies . Table provides each authors’ definition of SUI and UUI, and descriptions of validated questionnaires used to assess UI . A wide range of 14 different UI questionnaires were used across included studies (complete list of UI questionnaires is available in Table S3).…”

Section: Resultsmentioning

confidence: 99%

The impact of bariatric surgery on urinary incontinence: a systematic review and meta‐analysis

Lee

Tikkinen

et al. 2019

BJU International

View full text Add to dashboard Cite

ObjectivesTo systematically review and meta-analyse the impact of bariatric surgery on obese patients with urinary incontinence (UI). MethodsA search of the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Excerpta Medica dataBASE (EMBASE), Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and PubMed to June 2018 was performed using methods pre-published on the International Prospective Register of Systematic Reviews (PROSPERO). Reporting followed the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Studies comparing UI status in obese patients before and after bariatric surgery were included. Primary outcomes were the improvement or complete resolution of any UI, stress UI (SUI), and urgency UI (UUI). Secondary outcomes were validated UI questionnaire scores. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach assessed overall quality of evidence. ResultsIn all, 33 cohort studies (2910 patients) were included (median follow-up 12 months). Bariatric surgery resulted in improvement or resolution of any UI in 56% (95% confidence interval [CI] 48-63%), SUI in 47% (95% CI 34-60%), and UUI in 53% (95% CI 32-73%) of patients. Moreover, bariatric surgery significantly decreased (P < 0.001) questionnaire scores such as: the Urogenital Distress Inventory by 13.4 points (95% CI 7.2-19.6), International Consultation on Incontinence Questionnaire by 4.0 points (95% CI 2.3-5.7), and Incontinence Impact Questionnaire by 5.3 points (95% CI 3.9-6.6). However, worsening or new onset of UI was present in 3% of patients. The quality of evidence was very low for all outcomes. ConclusionHalf of obese patients report improvement or resolution of UI after bariatric surgery, but overall the quality of evidence is very low. Comparative studies examining the benefits of bariatric surgery in obese patients with UI are warranted.Keywords bariatric surgery, obesity, urinary incontinence, stress urinary incontinence, urge urinary incontinence, #Incontinence

show abstract

“…Some studies showed that bariatric surgery improved pelvic floor function [28] and QOL in morbidly obese women. In a recent study, 44 female subjects undergoing bariatric surgery were prospectively assessed using a questionnaire for urinary impact, anorectal impact, and prolapse impact [29]. The results showed that the only questionnaire and the only symptom that improved, respectively, resulted the pelvic organ prolapse questionnaire and UI.…”

Section: Discussionmentioning

confidence: 97%