title: Effects of obesity surgery (laparoscopic sleeve gastrectomy technique) on lower urinary tract symptoms, depression and quality of life of males: Prospective study.
abstract: OBJECTIVE
  Technically, obesity weakens the pelvic base muscles by causing an increase in the intraabdominal pressure and intravesical pressure due to increasing fat and it triggers the occurrence of lower urinary tract symptoms. However it is believed that weight loss will cause recovery of these symptoms. Our purpose in this study is to research about the effects of the weight loss achieved by using especially the Laparoscopic Sleeve Gastrectomy (LSG) technique of bariatric surgery which is being more and more widely used today.
  
  
  METHODS
  Out of all patients who had LSG surgery due to obesity earlier in our center during the period between April 2014 and March 2015, 22 applicable male patients were considered after a brief exclusion criteria application. Age, height, weight, and body mass index (BMI) data of these patients were recorded before the operation. International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire - short from) (ICIQ-SF), Beck depression inventory (BECK) and Short form - 36 (SF-36) were filled for the patients and the data were recorded. Also, the weight loss amounts and BMI decreases of the patients after the operation were recorded.
  
  
  RESULTS
  After the procedure, the decrease in the averages of BECK depression inventory, IPSS, ICIQ-SF and the increase in the Mental and Physical subgroup scores of SF-36 were found statistically coherent.
  
  
  CONCLUSIONS
  The adverse effect of obesity, which is observed more and more often in today's world, on lower urinary tract symptoms and on the quality of life is undeniable. In our study, we think that the bariatric surgery made by using the LSG technique, not only causes serious amount of weight loss, but also reduces urinary dysfunction and enhances the quality of life among males.
authors.affiliation: Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul. urucmd@gmail.com.
authors.forename: Fatih
authors.initials: F
authors.lastname: Uruç
authors.forename: Serkan
authors.initials: S
authors.lastname: Akan
authors.forename: Bekir
authors.initials: B
authors.lastname: Aras
authors.forename: Çaglar
authors.initials: Ç
authors.lastname: Yıldırım
authors.forename: Aytaç
authors.initials: A
authors.lastname: Sahin
authors.forename: Ozgur Haki
authors.initials: OH
authors.lastname: Yuksel
authors.forename: Mehmet Timuçin
authors.initials: MT
authors.lastname: Aydın
authors.forename: Ayhan
authors.initials: A
authors.lastname: Verit
mesh_terms: D000328:Adult; D003863:Depression / Q000209:etiology* / Q000517:prevention & control; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D059411:Lower Urinary Tract Symptoms / Q000209:etiology* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications* / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D055815:Young Adult