Weight loss with bariatric surgery or behaviour modification and the impact on female obesity‐related urine incontinence: A comprehensive systematic review and meta‐analysis

Sheridan, William; Silva, Ana Sofia Da; Leca, Bianca; Oštarijaš, Eduard; Patel, Ameet G.; Aylwin, Simon; Vincent, R.; Panagiotopoulos, Spyros; El-Hasani, Shamsi; Roux, Carel W. le; Miras, Alexander D.; Cardozo, Linda; Dimitriadis, Georgios K.

doi:10.1111/cob.12450

Cited by 10 publications

(9 citation statements)

References 61 publications

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“…To our knowledge, with 66 months of follow-up, this study offers data with the longest follow-up in the literature. Recent meta-analyses on this topic reported follow-ups of approximately 1–2 years [ 10 , 11 , 12 ]. Follow-up of bariatric surgery patients is difficult due to moderate compliance with care.…”

Section: Discussionmentioning

confidence: 99%

Urinary Continence Resolution after Bariatric Surgery: Long-Term Results after Six-Year Follow-Up

Waeckel

Said

Menahem

et al. 2023

JCM

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Background: Bariatric surgery is known to improve stress urinary incontinence (SUI) and overactive bladder disorders (OAB). However, there is little long-term follow-up in the literature. Objective: To determine the long-term effect of bariatric procedures on SUI and OAB and their impact on quality of life, we applied the ICIQ and USP questionnaires. Setting: The research was conducted at a French university hospital with expertise in bariatric surgery. Methods: We performed an updated follow-up at 6 years of a prospective cohort of 83 women who underwent a bariatric procedure between September 2013 and September 2014. The women completed the USP and ICIQ questionnaires before surgery, 1 year and 6 years after the surgery. Results: Of the 83 patients, 67 responded (80.7%) in full. SUI remained improved at 6 years: the USP score decreased from 3 [1; 7] before surgery to 0 [0; 1] (p = 0.0010) at 1 year after surgery and remained at 0 [0; 0] (p = 0.0253) at 6 years. The decrease in the OAB symptom score remained statistically significant: 3 [1; 7] before the surgery vs. 2 [0; 5] at 6 years (p = 0.0150). However, this improvement was significantly less pronounced than at 1 year: 0 [0; 1] (p = 0.002). Conclusions: Bariatric surgery seems to be effective at treating SUI and OAB with a long-lasting effects, still noted at 6 years.

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Section: Discussionmentioning

confidence: 99%

Urinary Continence Resolution after Bariatric Surgery: Long-Term Results after Six-Year Follow-Up

Waeckel

Said

Menahem

et al. 2023

JCM

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“…A high BMI causes an increase in intra-abdominal and pelvic pressure during daily activities, which in turn may stress the pelvic floor secondary to increased pressure. 31 Recurrence of these conditions contributes to functional disorders of the pelvic floor and urinary tract, particularly UI. Regarding delivery, the present finding is also consistent with numerous studies reporting a negative influence of vaginal delivery on UI.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and sociodemographic correlates of urinary incontinence in Japanese women: A web-based cross-sectional study

Onishi,

Shibata

2023

Womens Health (Lond Engl)

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Background: Epidemiological studies on urinary incontinence that used a validated international standard questionnaire are limited in Japan, and few studies have examined the sociodemographic and behavioral correlates of urinary incontinence. Objective: The aim of this study was to estimate the prevalence of urinary incontinence according to the Japanese version of the International Consultation on Incontinence Questionnaire-Short Form, and its sociodemographic and behavioral correlates among Japanese women. Design: A web-based cross-sectional study. Methods: A randomly sampled cross-sectional Internet survey was conducted in Japan among 3030 women aged 20–64 years. The International Consultation on Incontinence Questionnaire-Short Form score, sociodemographic, body mass index, medical and childbirth history, practice of pelvic floor muscle training, and medical care use were obtained. Descriptive statistics, the chi-square test, and forced-entry logistic regression analysis were used in data analysis. Results: Participants’ average age was 43.4 years, and the response rate was 32.9%. The prevalence of urinary incontinence was 25.5%, and it increased with age. Stress urinary incontinence was the most common subtype (57.4%), followed by urge urinary incontinence (20.3%) and mixed urinary incontinence (16.7%). Less than 5% of those with urinary incontinence had experience with pelvic floor muscle training and medical care use. Middle-aged and older (p < 0.001), overweight and obesity (p < 0.001), vaginal delivery status (p < 0.001), low back pain (p = 0.008), and previous pelvic floor muscle training engagement (p < 0.001) were significantly associated with urinary incontinence. Conclusion: Increasing population awareness of urinary incontinence from an early age and developing effective interventions for the identified at-risk groups, such as the middle-aged and older, those with overweight and obesity, and those with previous pregnancies, are urgently needed.

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“…Obesity has also been linked to UI surgery in certain studies. Weight loss interventions are beneficial in improving UI, and procedures like weight loss surgery can ameliorate the quality of life of UI patients ( 43 , 44 ).…”

Section: Discussionmentioning

confidence: 99%

Association of overweight, obesity and risk of urinary incontinence in middle-aged and older women: a meta epidemiology study

Shang,

Fu,

Jin

et al. 2023

Front. Endocrinol.

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AimsThe aim of this meta-analysis is to evaluate the potential correlation between obesity and overweight, and the vulnerability to urinary incontinence (UI) in women aged middle-aged and above.MethodsWe searched PubMed, Cochrane Library, and Embase for observational studies published between the inception of the databases and April 25, 2023. A fixed-effects model was used when the P>0.1 and the I2 ≤ 50%. In cases where I2 ≥ 50% (indicating significant heterogeneity), a random-effects model was applied. For the purpose of evaluating publication bias, a funnel plot and Egger’s test were used. Stata 14.0 was used for all statistical analyses.FindingsThis meta-analysis includes 16 observational studies, covering29,618 individuals. The pooled analysis shows that being overweight(25 kg/m2≤BMI<30kg/m2) in middle-aged and elderly women is more likely to develop UI (OR=1.27; 95% CI: 1.17-1.37; I2 = 51.8%, P=0.013). Middle-aged and elderly women with obesity(30 kg/m2≤BMI<35 kg/m2) are significantly more likely to develop UI (OR=1.60; 95% CI: 1.42-1.81; I2 = 71.8%, P=0.000). In addition, the results indicated a higher probability of UI in middle-aged and older women with obesity class II (BMI≥35 kg/m2) (OR=1.85; 95% CI: 1.59-2.16; I2 = 48.1%, P=0.103). In subgroup analysis, there is no direct relationship between the obesity in middle-aged and elderly women and an increased risk of stress urinary incontinence (SUI) (OR=1.31; 95% CI: 0.99-1.74; I2 = 63.7%, P=0.011). In middle-aged and elderly women with obesity are more likely to develop urgent urinary incontinence (UUI) (OR=2.11; 95% CI: 1.54-2.89; I2 = 80.2%, P=0.000).ConclusionIn this meta-analysis, overweight and obesity are associated with an increased risk of UI in middle-aged and elderly women. Obesity and overweight are independent risk factors for UI, as demonstrated by this study.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023421986.

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Weight loss with bariatric surgery or behaviour modification and the impact on female obesity‐related urine incontinence: A comprehensive systematic review and meta‐analysis

Cited by 10 publications

References 61 publications

Urinary Continence Resolution after Bariatric Surgery: Long-Term Results after Six-Year Follow-Up

Urinary Continence Resolution after Bariatric Surgery: Long-Term Results after Six-Year Follow-Up

Prevalence and sociodemographic correlates of urinary incontinence in Japanese women: A web-based cross-sectional study

Association of overweight, obesity and risk of urinary incontinence in middle-aged and older women: a meta epidemiology study

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