Effect of bariatric surgery on urinary and fecal incontinence: prospective analysis with 1-year follow-up
Few studies have established that obesity promotes all types of urinary incontinence and disorders of the pelvic floor. The role of bariatric surgery in urinary incontinence remains poorly studied. To determine the effect of bariatric surgery on urinary incontinence, dysuria, and fecal incontinence...
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| Veröffentlicht in: | Surgery for obesity and related diseases 2017-02, Vol.13 (2), p.305-312 |
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| creator | Ait Said, Khelifa Leroux, Yannick Menahem, Benjamin Doerfler, Arnaud Alves, Arnaud Tillou, Xavier |
| description | Few studies have established that obesity promotes all types of urinary incontinence and disorders of the pelvic floor. The role of bariatric surgery in urinary incontinence remains poorly studied.
To determine the effect of bariatric surgery on urinary incontinence, dysuria, and fecal incontinence before and 1 year after bariatric surgery.
University hospital expert in bariatric surgery
This was an observational cohort study of 140 patients who underwent bariatric surgery between September 2013 and September 2014. Patients prospectively completed 4 questionnaires, 2 for urinary symptoms and 2 for fecal incontinence. Eighty-three women and 33 men completed 4 questionnaires the day before surgery when arriving in the department and 1 year after surgery.
Of the 140 patients, 116 completely responded to the 4 questionnaires. The rate of urinary incontinence was 50.9% before surgery and 19% at 1-year follow-up (P |
| doi_str_mv | 10.1016/j.soard.2016.08.019 |
| format | Article |
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To determine the effect of bariatric surgery on urinary incontinence, dysuria, and fecal incontinence before and 1 year after bariatric surgery.
University hospital expert in bariatric surgery
This was an observational cohort study of 140 patients who underwent bariatric surgery between September 2013 and September 2014. Patients prospectively completed 4 questionnaires, 2 for urinary symptoms and 2 for fecal incontinence. Eighty-three women and 33 men completed 4 questionnaires the day before surgery when arriving in the department and 1 year after surgery.
Of the 140 patients, 116 completely responded to the 4 questionnaires. The rate of urinary incontinence was 50.9% before surgery and 19% at 1-year follow-up (P<.0001). After bariatric surgery, there was improvement in the rate of stress urinary incontinence: 39.7% before surgery versus 15.5% at 1 year (P<.0001). In addition, there was an improvement in urinary urge incontinence: 36.8% versus 7.9% at 1 year (P<.0001). The dysuria rate was 19.8% before surgery versus 3.4% at 1 year (P<.0001). Bariatric surgery improved the quality of life related to urinary symptoms (P<.0001). One year after surgery, there was no significant difference in terms of prevalence and severity of fecal incontinence.
We confirmed with our study that weight loss after bariatric surgery improves stress urinary incontinence, urge incontinence, dysuria, and quality of life. However, we did not find any positive effect on fecal incontinence.</description><identifier>ISSN: 1550-7289</identifier><identifier>EISSN: 1878-7533</identifier><identifier>DOI: 10.1016/j.soard.2016.08.019</identifier><identifier>PMID: 27639987</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aftercare ; Analysis of Variance ; Bariatric Surgery ; Body Mass Index ; Dyslipidemias - complications ; Fecal incontinence ; Fecal Incontinence - surgery ; Female ; Humans ; Hypertension - complications ; Male ; Middle Aged ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Postoperative Care ; Prospective Studies ; Quality of Life ; Surveys and Questionnaires ; Treatment Outcome ; Urinary incontinence ; Urinary Incontinence - surgery</subject><ispartof>Surgery for obesity and related diseases, 2017-02, Vol.13 (2), p.305-312</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-cd145f1d4c42004efcba47099eb14f591a6cedd2e9dcc84e55c4f8777b1de3c23</citedby><cites>FETCH-LOGICAL-c359t-cd145f1d4c42004efcba47099eb14f591a6cedd2e9dcc84e55c4f8777b1de3c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.soard.2016.08.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27639987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ait Said, Khelifa</creatorcontrib><creatorcontrib>Leroux, Yannick</creatorcontrib><creatorcontrib>Menahem, Benjamin</creatorcontrib><creatorcontrib>Doerfler, Arnaud</creatorcontrib><creatorcontrib>Alves, Arnaud</creatorcontrib><creatorcontrib>Tillou, Xavier</creatorcontrib><title>Effect of bariatric surgery on urinary and fecal incontinence: prospective analysis with 1-year follow-up</title><title>Surgery for obesity and related diseases</title><addtitle>Surg Obes Relat Dis</addtitle><description>Few studies have established that obesity promotes all types of urinary incontinence and disorders of the pelvic floor. The role of bariatric surgery in urinary incontinence remains poorly studied.
To determine the effect of bariatric surgery on urinary incontinence, dysuria, and fecal incontinence before and 1 year after bariatric surgery.
University hospital expert in bariatric surgery
This was an observational cohort study of 140 patients who underwent bariatric surgery between September 2013 and September 2014. Patients prospectively completed 4 questionnaires, 2 for urinary symptoms and 2 for fecal incontinence. Eighty-three women and 33 men completed 4 questionnaires the day before surgery when arriving in the department and 1 year after surgery.
Of the 140 patients, 116 completely responded to the 4 questionnaires. The rate of urinary incontinence was 50.9% before surgery and 19% at 1-year follow-up (P<.0001). After bariatric surgery, there was improvement in the rate of stress urinary incontinence: 39.7% before surgery versus 15.5% at 1 year (P<.0001). In addition, there was an improvement in urinary urge incontinence: 36.8% versus 7.9% at 1 year (P<.0001). The dysuria rate was 19.8% before surgery versus 3.4% at 1 year (P<.0001). Bariatric surgery improved the quality of life related to urinary symptoms (P<.0001). One year after surgery, there was no significant difference in terms of prevalence and severity of fecal incontinence.
We confirmed with our study that weight loss after bariatric surgery improves stress urinary incontinence, urge incontinence, dysuria, and quality of life. However, we did not find any positive effect on fecal incontinence.</description><subject>Aftercare</subject><subject>Analysis of Variance</subject><subject>Bariatric Surgery</subject><subject>Body Mass Index</subject><subject>Dyslipidemias - complications</subject><subject>Fecal incontinence</subject><subject>Fecal Incontinence - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Care</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - surgery</subject><issn>1550-7289</issn><issn>1878-7533</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOxCAUhonReH8CE8PSTSuUMoCJC2O8JSZudE0oHJRJp4zQaubtZRx16YpD8p3L_yF0QklNCZ2dz-scTXJ1Uz41kTWhagvtUylkJThj26XmnFSikWoPHeQ8J4TNuGh20V4jZkwpKfZRuPEe7Iijx51JwYwpWJyn9AppheOApxQGU0ozOFxA0-Mw2DiMYYDBwgVeppiXZUD4gMKYfpVDxp9hfMO0WoFJ2Me-j5_VtDxCO970GY5_3kP0cnvzfH1fPT7dPVxfPVaWcTVW1tGWe-pa2zaEtOBtZ1pBlIKOtp4ramYWnGtAOWtlC5zb1kshREcdMNuwQ3S2mVtOe58gj3oRsoW-NwPEKWsquRKMckILyjaoLSlyAq-XKSxKXE2JXjvWc_3tWK8dayJ1cVy6Tn8WTN0C3F_Pr9QCXG4AKDE_AiSdbVjrciEVVdrF8O-CL3_AkLU</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Ait Said, Khelifa</creator><creator>Leroux, Yannick</creator><creator>Menahem, Benjamin</creator><creator>Doerfler, Arnaud</creator><creator>Alves, Arnaud</creator><creator>Tillou, Xavier</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Effect of bariatric surgery on urinary and fecal incontinence: prospective analysis with 1-year follow-up</title><author>Ait Said, Khelifa ; Leroux, Yannick ; Menahem, Benjamin ; Doerfler, Arnaud ; Alves, Arnaud ; Tillou, Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-cd145f1d4c42004efcba47099eb14f591a6cedd2e9dcc84e55c4f8777b1de3c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aftercare</topic><topic>Analysis of Variance</topic><topic>Bariatric Surgery</topic><topic>Body Mass Index</topic><topic>Dyslipidemias - complications</topic><topic>Fecal incontinence</topic><topic>Fecal Incontinence - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Care</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ait Said, Khelifa</creatorcontrib><creatorcontrib>Leroux, Yannick</creatorcontrib><creatorcontrib>Menahem, Benjamin</creatorcontrib><creatorcontrib>Doerfler, Arnaud</creatorcontrib><creatorcontrib>Alves, Arnaud</creatorcontrib><creatorcontrib>Tillou, Xavier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery for obesity and related diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ait Said, Khelifa</au><au>Leroux, Yannick</au><au>Menahem, Benjamin</au><au>Doerfler, Arnaud</au><au>Alves, Arnaud</au><au>Tillou, Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of bariatric surgery on urinary and fecal incontinence: prospective analysis with 1-year follow-up</atitle><jtitle>Surgery for obesity and related diseases</jtitle><addtitle>Surg Obes Relat Dis</addtitle><date>2017-02</date><risdate>2017</risdate><volume>13</volume><issue>2</issue><spage>305</spage><epage>312</epage><pages>305-312</pages><issn>1550-7289</issn><eissn>1878-7533</eissn><abstract>Few studies have established that obesity promotes all types of urinary incontinence and disorders of the pelvic floor. The role of bariatric surgery in urinary incontinence remains poorly studied.
To determine the effect of bariatric surgery on urinary incontinence, dysuria, and fecal incontinence before and 1 year after bariatric surgery.
University hospital expert in bariatric surgery
This was an observational cohort study of 140 patients who underwent bariatric surgery between September 2013 and September 2014. Patients prospectively completed 4 questionnaires, 2 for urinary symptoms and 2 for fecal incontinence. Eighty-three women and 33 men completed 4 questionnaires the day before surgery when arriving in the department and 1 year after surgery.
Of the 140 patients, 116 completely responded to the 4 questionnaires. The rate of urinary incontinence was 50.9% before surgery and 19% at 1-year follow-up (P<.0001). After bariatric surgery, there was improvement in the rate of stress urinary incontinence: 39.7% before surgery versus 15.5% at 1 year (P<.0001). In addition, there was an improvement in urinary urge incontinence: 36.8% versus 7.9% at 1 year (P<.0001). The dysuria rate was 19.8% before surgery versus 3.4% at 1 year (P<.0001). Bariatric surgery improved the quality of life related to urinary symptoms (P<.0001). One year after surgery, there was no significant difference in terms of prevalence and severity of fecal incontinence.
We confirmed with our study that weight loss after bariatric surgery improves stress urinary incontinence, urge incontinence, dysuria, and quality of life. However, we did not find any positive effect on fecal incontinence.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27639987</pmid><doi>10.1016/j.soard.2016.08.019</doi><tpages>8</tpages></addata></record> |
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| subjects | Aftercare Analysis of Variance Bariatric Surgery Body Mass Index Dyslipidemias - complications Fecal incontinence Fecal Incontinence - surgery Female Humans Hypertension - complications Male Middle Aged Obesity, Morbid - complications Obesity, Morbid - surgery Postoperative Care Prospective Studies Quality of Life Surveys and Questionnaires Treatment Outcome Urinary incontinence Urinary Incontinence - surgery |
| title | Effect of bariatric surgery on urinary and fecal incontinence: prospective analysis with 1-year follow-up |
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