الفهرس 
Impact of bariatric surgery on overactive bladder symptoms in morbidly obese female patients
LIST OF CONTENTSOnly 14 pages are availabe for public view
 |  | from | 107 |  |  |
| | | from | 107 | | |
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.