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Laparoscopic sleeve gastrectomy effects on overactive bladder symptoms.

Giovanni Palleschi1, Antonio Luigi Pastore1, Mario Rizzello2

  • 1Department of Sciences and Medico-Surgical Biotechnologies, Urology Unit, ICOT, Sapienza University of Rome, Latina, Italy; Uroresearch Association, Non Profit Association for Basic, Clinical and Surgical Research in Urology, Latina, Italy.

The Journal of Surgical Research
|April 15, 2015
PubMed
Summary

Morbidly obese patients often experience overactive bladder (OAB) symptoms. Laparoscopic sleeve gastrectomy (LSG) significantly improved OAB symptoms in patients, demonstrating the procedure

Keywords:
Body mass indexObesityOveractive bladderSleeve gastrectomy

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Area of Science:

  • Urology
  • Bariatric Surgery
  • Obesity Medicine

Background:

  • Morbid obesity is linked to lower urinary tract symptoms, including overactive bladder (OAB).
  • Existing research often overlooks OAB symptoms in obese patients, focusing primarily on urinary incontinence.
  • Laparoscopic sleeve gastrectomy (LSG) is a safe and effective bariatric procedure for managing obesity and its associated comorbidities.

Purpose of the Study:

  • To investigate the impact of LSG on overactive bladder (OAB) symptoms in morbidly obese patients.
  • To assess whether LSG improves the quality of life for individuals suffering from OAB and obesity.

Main Methods:

  • A prospective study involving 120 morbidly obese patients (60 men, 60 women) undergoing LSG.
  • Pre- and post-operative assessments included medical history, physical exams, urinalysis, ultrasounds, voiding diaries, and OAB questionnaires.
  • A control group of 120 obese individuals awaiting LSG was used for comparison.

Main Results:

  • Overactive bladder symptoms were prevalent in the morbidly obese cohort, with a higher incidence in women.
  • LSG led to a significant reduction in body mass index (BMI) at 180 days post-surgery.
  • Patients who underwent LSG showed significant improvement in OAB symptoms compared to the untreated control group.

Conclusions:

  • Laparoscopic sleeve gastrectomy is an effective treatment for improving overactive bladder symptoms in morbidly obese individuals.
  • Successful LSG contributes to the resolution of OAB symptoms, enhancing patient well-being.