The Effect of Bariatric Surgery on Urinary Incontinence in Women

OBoyle, Colm; O’Sullivan, Orfhlaith E.; Shabana, Hayder; Boyce, M; O’Reilly, Barry

doi:10.1007/s11695-015-1969-z

Cited by 29 publications

(15 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a 2016 study of 72 female patients with any type of pelvic floor disorder who had undergone bariatric surgery (the vast majority gastric bypass), Romero-Talamás et al16 found that the prevalence of SUI and UUI, as well as associated symptoms, significantly decreased after surgery. In a 2015 study of female patients who had undergone bariatric surgery, which was similar to our study, O’Boyle et al15 observed that moderate-to-severe UI decreased in 38% of patients, symptoms decreased in 84%, total cure occurred in 33%, and frequency of use of pads decreased in 19%. In accordance with these results, we observed remarkable improvement in UI in obese patients experiencing SUI, UUI, and MUI 6 months after surgery, but particularly in those experiencing SUI, for whom the cure rate was the highest (SUI 61% vs UUI 39% vs MUI 25%).…”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Effects of bariatric surgery on urinary incontinence

Bülbüller¹,

Habibi²,

Yüksel³

et al. 2017

TCRM

View full text Add to dashboard Cite

IntroductionObesity is an important modifiable etiological factor associated with several diseases. There is strong evidence that urinary incontinence (UI) is positively correlated with body mass index (BMI).AimOne of the many benefits experienced by obese patients after bariatric surgery is decrease in UI. To investigate this correlation, we aimed to examine the effects of weight loss on UI in female patients who had undergone laparoscopic sleeve gastrectomy (LSG).Materials and methodsObese female patients (n=120), ≥18 years of age, and planning to undergo LSG were included in this prospective study. We administered the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) and Incontinence Impact Questionnaire (IIQ-7) to the patients prior to surgery and 6 months after the surgery. Using the collected data, we determined the incidence of UI and examined the relationship between the preoperative and postoperative BMI and UI values.ResultsThe mean age of the patients was 39.19 (standard deviation [SD] =9.94) years and the mean preoperative BMI was 46.17 (SD =5.35). Of the 120 patients, 72 (60%) complained of UI preoperatively. Among these 72 patients, 23 (31.95%) described urge incontinence, 18 (25%) stress incontinence, and 31 (43.05%) mixed-type incontinence. At 6 months postoperatively, the percentage of excess weight loss was 70.33% (SD =14.84%). For all three UI subtypes, the 6-month postoperative ICIQ-UI-SF and IIQ-7 scores decreased significantly compared to the preoperative scores (P<0.05).ConclusionLSG results in a clinically significant improvement in most common types of UI, regardless of patient reproductive history, existence of comorbid conditions, and smoking status.

show abstract

Section: Discussionsupporting

confidence: 88%

“…One of the many benefits experienced by obese patients after bariatric surgery is decrease in UI 15,16. To examine the impact of treatment of obesity by bariatric surgery on UI, we prospectively examined the impact of laparoscopic sleeve gastrectomy (LSG) on the three most common types of UI in 120 morbidly obese female patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of bariatric surgery on urinary incontinence

Bülbüller¹,

Habibi²,

Yüksel³

et al. 2017

TCRM

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 weighted mean (SD) BMI before surgery was 46.0 (2.8) and 32.2 (2.4) kg/m 2 at follow-up, with an absolute percentage reduction of 30%. Table 1 presents descriptions of the 33 included studies [11][12][13][14][15][16][17][18][19]21,[28][29][30][31][32][33][34][35][36][37][38][39][41][42][43][44][45][46][47][49][50][51][52]. Table 2 provides each authors' definition of SUI and UUI, and descriptions of validated questionnaires used to assess UI [11][12][13][14][15][16][17][18][19]21,[28][29][30][31][32]…”

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

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