Effects of bariatric surgery on urinary incontinence.
BACKGROUND
Obesity 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).


OBJECTIVE
One 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).


METHODS
Obese 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.


RESULTS
The 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).


CONCLUSIONS
LSG results in a clinically significant improvement in most common types of UI, regardless of patient reproductive history, existence of comorbid conditions, and smoking status.
General Surgery Department, Antalya Training and Research Hospital, Antalya.
Nurullah
N
Bulbuller
General Surgery Department, Antalya Training and Research Hospital, Antalya; General Surgery Department, Esenler Maternity and Child Health Hospital, Istanbul.
Mani
M
Habibi
Urology Department, Antalya Training and Research Hospital, Antalya, Turkey.
Mustafa
M
Yuksel
General Surgery Department, Antalya Training and Research Hospital, Antalya.
Onur
O
Ozener
General Surgery Department, Antalya Training and Research Hospital, Antalya.
Mehmet Tahir
MT
Oruc
General Surgery Department, Antalya Training and Research Hospital, Antalya.
Osman Zekai
OZ
Oner
General Surgery Department, Antalya Training and Research Hospital, Antalya.
Mehmet Altug
MA
Kazak
bariatric surgery; obesity; urinary incontinence