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Roux-en-Y Gastric Bypass Operation in Rats
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Published on: June 11, 2012

Does bariatric surgery affect urinary incontinence?

Leise R Knoepp1, Michelle J Semins, E James Wright

  • 1Department of Obstetrics and Gynecology, Ochsner Medical Center, New Orleans, LA, USA. lknoepp@gmail.com

Urology
|July 13, 2013
PubMed
Summary
This summary is machine-generated.

Bariatric surgery significantly improves urinary incontinence (UI) in obese women. Patients undergoing bariatric surgery were more likely to no longer have a UI diagnosis compared to those who did not have surgery.

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Area of Science:

  • Medical research
  • Surgical outcomes
  • Obesity treatment

Background:

  • Urinary incontinence (UI) is a common condition affecting many women.
  • Obesity is a known risk factor for UI.
  • Bariatric surgery is an effective treatment for obesity.

Purpose of the Study:

  • To investigate the impact of bariatric surgery on urinary incontinence (UI).
  • To analyze International Classification of Disease, 9th Revision, (ICD-9) coding patterns as a proxy for UI incidence and prevalence before and after bariatric surgery.

Main Methods:

  • Retrospective analysis of national private insurer claims data from 2002-2006.
  • Matched cohort study comparing female patients who underwent bariatric surgery to obese female patients who did not.
  • UI identified using ICD-9 codes; 3 years of follow-up data analyzed.

Main Results:

  • 62.4% of patients who had UI before bariatric surgery no longer had a UI diagnosis post-surgery, compared to 42.1% in the control group (P = .0009).
  • New UI diagnoses occurred in 6.2% of the bariatric surgery group versus 7.1% of the control group (P = .1169).
  • Age >45 and pre-existing UI were significant predictors of post-index UI; bariatric surgery status showed significant interaction with UI.

Conclusions:

  • Bariatric surgery is associated with a higher likelihood of resolving a previous UI diagnosis.
  • These findings suggest potential indirect benefits of bariatric surgery for the obese population beyond weight loss.