Impact of surgically induced weight loss on pelvic floor disorders

Whitcomb, Emily L.; Horgan, Santiago; Donohue, Michael C.; Lukacz, Emily S.

doi:10.1007/s00192-012-1756-5

Cited by 55 publications

(28 citation statements)

References 22 publications

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“…There was a significant decrease in the score, i.e., improvement in all nine domains that make up the questionnaire. 1 Several authors evaluated the influence of weight loss in urogynecological symptoms in obese women through specific interviews and obtained results that reinforce those found in this study, with improvements in symptoms of urinary incontinence and quality of life 15,17,20,26,27 . In this research, the pelvic floor muscle strength, measured by the modified Oxford scale, increased significantly one year after bariatric surgery compared to the preoperative period.…”

Section: Discussionsupporting

confidence: 72%

“…In the group of Kuruba et al the surgically induced weight loss improved or resolved urinary incontinence in 82% of patients treated14. A study of Whitcomb et al, among women initially with stress urinary incontinence, overactive bladder and anal incontinence, there was resolution of the symptoms within one year after the operation in 48%, 73% and 20% respectively 27 . Semins et al concluded that patients undergoing bariatric surgery are more likely to healing and have less chance of developing urinary incontinence than those obese not surgically treated 22 .…”

Section: Discussionmentioning

confidence: 93%

“…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 .…”

Section: Introductionmentioning

confidence: 99%

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Efeitos da cirurgia bariátrica na função do assoalho pélvico

Castro¹,

Sobottka²,

Baretta³

et al. 2012

ABCD, arq. bras. cir. dig.

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-Background -Urinary incontinence is well documented as a comorbidity of obesity. Studies demonstrate improvement of incontinency after weight loss. However, the mechanisms are still not clear. Aim -To analyze the effects of bariatric surgery on pelvic floor function in women. Methods -Thirty women were invited to participate. They were waiting for bariatric surgery. Evaluations were done on pre-operative period and one year after surgery. It comprehended: body mass index, urinary incontinence prevalence, quality of life through the King's Health Questionnaire, quality of pelvic floor muscular contraction through the Oxford Modified Scale and perineometry.Results -Twenty four women were included in the study. ABCDDV/881RESUMO -Racional -A incontinência urinária é bem documentada como comorbidade da obesidade. Estudos demonstram resolução ou atenuação da incontinência após a perda de peso. Porém, os mecanismos pelos quais isso ocorre ainda não estão claros. Objetivo -Avaliar os efeitos da cirurgia bariátrica na função do assoalho pélvico em mulheres. Métodos -Foram avaliadas 30 mulheres que estavam em lista de espera para realizar a operação. Foi verificada a prevalência de incontinência urinária no pré e no pós-operatório e seu impacto na qualidade de vida através do King's Health Questionnaire. A qualidade da contração muscular do assoalho pélvico foi avaliada através da Escala de Oxford Modificada e da perineometria. Resultados -Vinte e quatro mulheres finalizaram o estudo. O índice de massa corporal passou de 46,96±5,77 kg/m2 no pré-operatório para 29,97±3,48 kg/m2 no pós-operatório, e a perda percentual do excesso de peso média foi de 70,77±13,26%. A prevalência de incontinência urinária passou de 70,8% no pré-operatório para 20,8% no pós-operatório. Após um ano da cirurgia bariátrica, houve redução do impacto da incontinência urinária na qualidade de vida em sete dos nove domínios avaliados no questionário. A mediana da Escala de Oxford Modificada aumentou de três no pré-operatório para quatro no pós-operatório. A perineometria apresentou aumento significativo na média das três contrações solicitadas, passou de 21,32±12,80 sauers para 28,83±16,17 sauers na comparação pré e pós-operatória. O pico de contração também aumentou significativamente no pós-operatório em relação ao pré-operatório, passou de 25,29±14,49 sauers para 30,92±16,20 sauers. Conclusão -A perda massiva de peso através da cirurgia bariátrica repercute positivamente na função do assoalho pélvico e na qualidade de vida das mulheres com obesidade mórbida.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efeitos da cirurgia bariátrica na função do assoalho pélvico

Castro¹,

Sobottka²,

Baretta³

et al. 2012

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

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“…There is much evidence clearly indicating that obesity is directly related to various health problems, such as hypertension, dyslipidaemia, cardiovascular disease (CVD), liver dysfunction, respiratory and musculoskeletal disorders, sub-fertility, psychosocial problems, and certain types of cancers as well as pelvic floor disorders [12]. The possible mechanism by which overweight, and especially obesity, influence pelvic floor anatomy and function include: chronic increase in intra-abdominal pressure, damage to pelvic musculature, nerve damage and associated conduction abnormalities, obesity-related comorbidities (diabetes and diabetic neuropathy, hypertension) and intervertebral disc herniation [13,14]. It has also been shown in several studies that a weight loss programs (surgical and non-surgical) may be an effective treatment for the management of pelvic floor disorders.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of common comorbidities among urogynaecological patients

Rechberger

Nowakowski²,

Rechberger³

et al. 2016

Ginekol Pol

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Objectives: Due to prolonged life expectancy, regardless of the fact that elderly women are more likely to suffer from comorbidities, urogynaecologists worldwide should expect a growing demand for counseling and effective treatment for patients with pelvic floor defects. The aim of the study was to investigate the incidence of popular comorbidities among urogynaecological patients. Material and methods:The retrospective analysis included clinical data of 4,065 consecutive female patients who underwent surgical treatment in the 2 nd Department of Gynaecology at the Medical University of Lublin due to urogynaecological disorders between January 2005 and December 2014. Patients were divided into two groups (< 65 years and ≥ 65 years). The vast majority of patients affected by stress urinary incontinence were treated with mid-urethral slings. Most of patients affected by pelvic organ prolapse underwent reconstructive vaginal surgery with reinforcement using anterior and/or posterior meshes. Statistical analysis was performed using STATISTICA 10.0 PL (unpaired Student t-test, U Mann Whitney, χ 2 test) Results: In both study groups, overweight and obesity were the most common disorders affecting urogynaecological patients (72.6% overall). Furthermore, the elderly patients suffered more often from the most common comorbidities, such as hypertension (p < 0.01), coronary artery disease (p < 0.001) and diabetes mellitus (p < 0.005) Conclusions:Common comorbidities such as overweight and obesity, followed by hypertension and coronary heart diseases, are usual among urogynaecological patients. Changes in lifestyle leading to a decrease in obesity should be considered as an important line treatment when counselling urogynaecological patients.

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“…36 assessed ''the prevalence of and risk factors for OAB in adolescent girls'' using data collected from secondary school teenagers (all females, aged [15][16][17][18][19][20]. The authors concluded that OAB affects 3% of adolescent women.…”

Section: Pelvic Organ Prolapse Surgerymentioning

confidence: 99%