الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Obesity affects more than a third of adult women in worldwide and has been associated with increased risk of metabolic, cardiovascular, and other comorbidities, as well as impaired quality of life (QOL). Obesity is also an established and modifiable risk factor for urinary incontinence (UI), Conservative management of urinary incontinence, includes behavioral therapy, bladder training, pelvic floor muscle training, lifestyle changes, mechanical devices, vaginal cones, and electrical stimulation. The bariatric surgery is the only intervention for morbid obesity with proved sustained weight loss, and associated co –morbidities. Objective: The aim of this study is to assess prevalence of lower urinary tract symptoms and incontinence in morbidly obese female patients candidate for bariatric surgery and the impact of surgery on it. Methods: The study was conducted on (33 out of 70) morbidly obese female patients presenting to general surgery department of Kasr Al-Ainy from February to August 2022 and candidates for bariatric surgery after record data collected about clinical, demographical, and anthropometric measurement likes weight, height, body mass index, w/h ratio, and waist circumference and all patients fill OABSS and A3 day voiding diary. Results: Recruited a total of 33 morbidly obese females eligible for inclusion final analysis, they showed a mean age 35.8 ± 8.9 years, mean height 158± 12.5 cm, baseline weight 130 ± 24.9 Kg, mean baseline BMI 48 ± 6.8 Kg/m2, mean W/H ratio 0.89± 0.06, and mean preoperative waist circumference 128± 11.8 cm. postoperative 3 days voiding diary showed improvement of 30 (90.9%) patients, and slight improvement of 3 patients (9.1%). Urodynamic at 6 months showed that 13 (76.5%) patients showed normal urodynamic studies, while only 56.3% of the DOA group had normal UDS versus 18.7% who didn’t improve and showed diabetic cystopathy. Conclusion: bariatric surgery is an effective intervention for improvement of urinary incontinence due to excess weight reduction. Mixed urinary incontinence and urge urinary incontinence shows better response after bariatric surgery reaching cure rate 100% and 81.3% respectively. |