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Abdominoplasty Improves Low Back Pain and Urinary Incontinence
D Alastair Taylor1,2, Steven L Merten1,2, Gavin D Sandercoe1,2
1Deakin, Canberra, Australian Capital Territory; Sydney, Liverpool, Newcastle, Randwick, and Wahroonga, New South Wales; and Gold Coast, Brisbane, and Toowoomba, Queensland, Australia.
Plastic and Reconstructive Surgery
|February 27, 2018
Summary
Abdominoplasty significantly improves postpartum low back pain and urinary incontinence. This surgical procedure offers functional relief for common post-pregnancy physical complaints.
Area of Science:
- Plastic Surgery
- Obstetrics & Gynecology
- Rehabilitative Medicine
Background:
- Postpartum women frequently experience low back pain and urinary incontinence.
- Abdominoplasty is a surgical procedure often sought by postpartum individuals.
- The impact of abdominoplasty on these specific functional issues is not fully understood.
Purpose of the Study:
- To investigate the incidence of low back pain and urinary incontinence in postpartum patients undergoing abdominoplasty.
- To evaluate the extent of improvement in these symptoms following the surgical procedure.
Main Methods:
- A multicenter prospective study involving 214 patients.
- Validated questionnaires (Oswestry Disability Index, ICIQ-UI-SF) were used to assess pain and incontinence.
- Data collection occurred preoperatively and at 6 weeks and 6 months postoperatively.
Main Results:
- Significant reductions in low back pain and urinary incontinence scores were observed post-abdominoplasty.
- Preoperative predictors for back pain included BMI > 25 and umbilical hernia; for incontinence, age > 40 and vaginal deliveries.
- No significant predictors for postoperative improvement were identified, and all abdominoplasty techniques showed similar efficacy.
Conclusions:
- Abdominoplasty, particularly with rectus repair, leads to substantial functional improvement for postpartum low back pain and urinary incontinence.
- The procedure effectively addresses common, debilitating symptoms experienced by postpartum individuals.
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