Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study

Objective Obesity triggers lower urinary tract symptoms (LUTS) secondary to accumulation of excess fat which may lead to increase in intra-abdominal/intravesical pressures and subsequent impairment in pelvic floor muscles. However, it is considered that weight loss resolve these symptoms. In this s...

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Main Authors: Fatih Uruç, Serkan Akan, Bekir Aras, Aytaç Şahin, Elif Uruç, Özgür Haki Yüksel, Ahmet Ürkmez, Çağlar Yıldırım
Format: Article
Language:English
Published: Galenos Yayinevi 2016-09-01
Series:Journal of Urological Surgery
Subjects:
Online Access:http://jurolsurgery.org/article_10857/Effect-Of-Bariatric-Sleeve-Gastrectomy-Technique-On-Womens-Lower-Urinary-Tract-Symptoms-And-Quality-Of-Life-A-Prospective-Study
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author Fatih Uruç
Serkan Akan
Bekir Aras
Aytaç Şahin
Elif Uruç
Özgür Haki Yüksel
Ahmet Ürkmez
Çağlar Yıldırım
author_facet Fatih Uruç
Serkan Akan
Bekir Aras
Aytaç Şahin
Elif Uruç
Özgür Haki Yüksel
Ahmet Ürkmez
Çağlar Yıldırım
author_sort Fatih Uruç
collection DOAJ
description Objective Obesity triggers lower urinary tract symptoms (LUTS) secondary to accumulation of excess fat which may lead to increase in intra-abdominal/intravesical pressures and subsequent impairment in pelvic floor muscles. However, it is considered that weight loss resolve these symptoms. In this study, we aimed to investigate the effects of bariatric surgery and especially Sleeve gastrectomy (SG) on women’s LUTS, and quality of life. Materials and Methods A total of 53 patients who have undergone laparoscopic SG in our clinics between April 2014 and March 2015 were included in this prospective study. Age, body weight and body mass index (BMI) of the participants were preoperatively and postoperatively recorded. The patients have pre/post-operatively filled the Beck depression inventory (BDI), International prostate symptom score (IPSS), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the 36-Item Short Form health survey (SF-36) scores were recorded. Additionally, post-operative decrease in body weight and BMI of the patients was recorded. Results There was a statistically significant decrease in mean BDI, IPSS and ICIQ-SF scores and SF-36 (prominent increment in physical and mental component summary (PCS and MCS) scores), when compared with pre-operative values. A positive correlation was found between BMI and parameters including age, BDI and IPSS. However, no significant correlation was present between BMI and the parameters including ICIQ-SF, PCS and MCS. Conclusion Negative effect of obesity on LUTS and quality of life cannot be ignored. We assume that bariatric surgery can induce dramatic weight loss, amelioration in symptoms of urinary dysfunction and increase in quality of life of women.
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spelling doaj.art-8a3511b1ee894163b6905be12d557ace2023-02-15T16:21:56ZengGalenos YayineviJournal of Urological Surgery2148-95802016-09-0133909410.4274/jus.2016.1023Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective StudyFatih Uruç0Serkan Akan1Bekir Aras2Aytaç Şahin3Elif Uruç4Özgür Haki Yüksel5Ahmet Ürkmez6Çağlar Yıldırım7Fatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyDumlupınar University Faculty of Medicine, Department of Urology, Kütahya, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Obstetric and Gynecology, İstanbul, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyFatih Sultan Mehmet Training and Research Hospital, Clinic of Urology, İstanbul, TurkeyObjective Obesity triggers lower urinary tract symptoms (LUTS) secondary to accumulation of excess fat which may lead to increase in intra-abdominal/intravesical pressures and subsequent impairment in pelvic floor muscles. However, it is considered that weight loss resolve these symptoms. In this study, we aimed to investigate the effects of bariatric surgery and especially Sleeve gastrectomy (SG) on women’s LUTS, and quality of life. Materials and Methods A total of 53 patients who have undergone laparoscopic SG in our clinics between April 2014 and March 2015 were included in this prospective study. Age, body weight and body mass index (BMI) of the participants were preoperatively and postoperatively recorded. The patients have pre/post-operatively filled the Beck depression inventory (BDI), International prostate symptom score (IPSS), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the 36-Item Short Form health survey (SF-36) scores were recorded. Additionally, post-operative decrease in body weight and BMI of the patients was recorded. Results There was a statistically significant decrease in mean BDI, IPSS and ICIQ-SF scores and SF-36 (prominent increment in physical and mental component summary (PCS and MCS) scores), when compared with pre-operative values. A positive correlation was found between BMI and parameters including age, BDI and IPSS. However, no significant correlation was present between BMI and the parameters including ICIQ-SF, PCS and MCS. Conclusion Negative effect of obesity on LUTS and quality of life cannot be ignored. We assume that bariatric surgery can induce dramatic weight loss, amelioration in symptoms of urinary dysfunction and increase in quality of life of women.http://jurolsurgery.org/article_10857/Effect-Of-Bariatric-Sleeve-Gastrectomy-Technique-On-Womens-Lower-Urinary-Tract-Symptoms-And-Quality-Of-Life-A-Prospective-StudyObesitylower urinary systembariatric surgerySleeve gastrectomyquality of life
spellingShingle Fatih Uruç
Serkan Akan
Bekir Aras
Aytaç Şahin
Elif Uruç
Özgür Haki Yüksel
Ahmet Ürkmez
Çağlar Yıldırım
Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
Journal of Urological Surgery
Obesity
lower urinary system
bariatric surgery
Sleeve gastrectomy
quality of life
title Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
title_full Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
title_fullStr Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
title_full_unstemmed Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
title_short Effect of Bariatric Sleeve Gastrectomy Technique on Women’s Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study
title_sort effect of bariatric sleeve gastrectomy technique on women s lower urinary tract symptoms and quality of life a prospective study
topic Obesity
lower urinary system
bariatric surgery
Sleeve gastrectomy
quality of life
url http://jurolsurgery.org/article_10857/Effect-Of-Bariatric-Sleeve-Gastrectomy-Technique-On-Womens-Lower-Urinary-Tract-Symptoms-And-Quality-Of-Life-A-Prospective-Study
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