Long-term quality of life and pelvic floor dysfunction after bariatric surgery.
OBJECTIVE
To evaluate effects of bariatric surgery on pelvic floor mediated quality of life in morbidly obese women.


METHODS
Prospective cohort study of 44 women undergoing bariatric surgery.


RESULTS
Thirty-six women gave data at baseline and at mean follow-up of 3.15 years following bariatric surgery. Although urinary impact questionnaire scores improved (-34.92, P = .0020), colorectal-anal impact questionnaire and pelvic organ prolapse impact questionnaire scores did not improve despite significant weight loss. Baseline female sexual function index scores were low (17.70 ± 8.38) and did not improve with weight loss (16.91 ± 9.75, P = .5832). Pelvic organ prolapse/urinary incontinence sexual questionnaire scores did improve (35.78 ± 6.06 preoperatively vs 38.22 ± 6.03 postoperatively, P = .0193).


CONCLUSIONS
Bariatric surgery is associated with significant improvement in the impact of urinary incontinence on quality of life. Sexual function was poor, and improved only on the pelvic organ prolapse/urinary incontinence sexual questionnaire that evaluated urinary incontinence.
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Mount Sinai School of Medicine, New York, NY, USA.
Cedric K
CK
Olivera
Daniel M
DM
Herron
Subhash U
SU
Kini
Michael D
MD
Vardy
Charles J
CJ
Ascher-Walsh
Alan D
AD
Garely
Shimon
S
Ginath
Michael L
ML
Brodman
D000328:Adult; D050110:Bariatric Surgery / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D059952:Pelvic Floor Disorders / Q000523:psychology*; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000523:psychology / Q000601:surgery