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Bariatric surgery improves female pelvic floor disorders
T Knepfler1, E Valero1, E Triki1
1Service de chirurgie générale et digestive, CHU de Strasbourg, 1, avenue Molière, 67200 Strasbourg, France.
Journal of Visceral Surgery
|December 19, 2015
Summary
Bariatric surgery significantly reduced obesity and improved urinary incontinence in women. However, colorectal dysfunction and prolapse symptoms did not improve after weight loss surgery.
Area of Science:
- Pelvic Floor Disorders
- Bariatric Surgery
- Obesity Management
Background:
- Obesity is a significant risk factor for pelvic floor disorders in women.
- Weight loss interventions, including bariatric surgery, can positively impact these conditions.
Purpose of the Study:
- To evaluate the changes in pelvic floor disorders among women following bariatric surgery.
- To assess the relationship between weight loss and the improvement of these disorders.
Main Methods:
- A prospective single-center study included 116 women undergoing bariatric surgery.
- Pelvic floor disorders were assessed using the PFDI-20 questionnaire preoperatively and postoperatively.
- Parameters like BMI, excess weight loss, and follow-up duration were analyzed.
Main Results:
- Significant excess weight loss (57.1%) and BMI reduction were observed post-surgery.
- Urinary symptoms and Urogenital Distress Inventory (UDI-6) scores significantly improved (P=0.003 and P=0.009, respectively).
- No significant improvement was noted in prolapse or colorectal-anal dysfunction symptoms.
Conclusions:
- Obese women exhibit a high prevalence of pelvic floor disorders, particularly urinary (71.5%) and colorectal (53%).
- Bariatric surgery-induced weight loss effectively improved urinary incontinence symptoms over an 11-month follow-up.
- Further research is needed to address non-urinary pelvic floor disorders post-bariatric surgery.
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