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Long-term quality of life and pelvic floor dysfunction after bariatric surgery

      Objective

      To evaluate effects of bariatric surgery on pelvic floor mediated quality of life in morbidly obese women.

      Study Design

      Prospective cohort study of 44 women undergoing bariatric surgery.

      Results

      Thirty-six women gave data at baseline and at mean follow-up of 3.15 years following bariatric surgery. Although urinary impact questionnaire scores improved (−34.92, P = .0020), colorectal-anal impact questionnaire and pelvic organ prolapse impact questionnaire scores did not improve despite significant weight loss. Baseline female sexual function index scores were low (17.70 ± 8.38) and did not improve with weight loss (16.91 ± 9.75, P = .5832). Pelvic organ prolapse/urinary incontinence sexual questionnaire scores did improve (35.78 ± 6.06 preoperatively vs 38.22 ± 6.03 postoperatively, P = .0193).

      Conclusion

      Bariatric surgery is associated with significant improvement in the impact of urinary incontinence on quality of life. Sexual function was poor, and improved only on the pelvic organ prolapse/urinary incontinence sexual questionnaire that evaluated urinary incontinence.

      Key words

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      References

        • Hendrix S.L.
        • Clark A.
        • Nygaard I.
        • Aragaki A.
        • Barnabei V.
        • McTiernan A.
        Pelvic organ prolapse in the women's health initiative: gravity and gravidity.
        Am J Obstet Gynecol. 2002; 186: 1160-1166
        • Bump R.C.
        • Sugerman H.J.
        • Fantl A.J.
        • McClish D.K.
        Obesity and lower urinary tract function in women: effect of surgically induced weight loss.
        Am J Obstet Gynecol. 1992; 167: 392-399
        • Kapoor D.S.
        • Davila W.G.
        • Rosenthal R.J.
        • Ghoniem G.M.
        Pelvic floor dysfunction in morbidly obese women: pilot study.
        Obes Res. 2004; 12: 1104-1107
        • Assimakopoulos K.
        • Karaivazoglou K.
        • Panayiotopoulos S.
        • Hyphantis T.
        • Iconomou G.
        • Kalfarentzos F.
        Assessing sexual function in obese women preparing for bariatric surgery.
        Obes Surg. 2006; 16: 1087-1091
        • Barber M.D.
        • Kuchibhatla M.N.
        • Pieper C.F.
        • Bump R.C.
        Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders.
        Am J Obstet Gynecol. 2001; 185: 1388-1395
        • Uebersax J.S.
        • Wyman J.F.
        • Shumaker S.A.
        • McClish D.K.
        • Fantl J.A.
        Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogentital Distress Inventory Continence Program for Women Research Group.
        Neurourol Urodyn. 1995; 14: 131-139
        • Rogers R.G.
        • Coates K.W.
        • Kammerman-Doak D.
        • Khalsa S.
        • Qualls C.
        A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12).
        Int Urogynecol J. 2003; 14: 164-168
        • Rosen R.
        • Brown C.
        • Heiman J.
        • et al.
        The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
        J Sex Marital Ther. 2000; 26: 191-220
        • Subak L.L.
        • Wing R.
        • West D.S.
        • et al.
        Weight loss to treat urinary incontinence in overweight and obese women.
        N Eng J Med. 2009; 360: 481-490
        • Washington B.B.
        • Erekson E.A.
        • Kassis N.C.
        • Myers D.L.
        The association between obesity and stage II or greater prolapse.
        Am J Obstet Gynecol. 2010; 202: 503.e1-503.e4
        • Bump R.C.
        • Mattiasson A.
        • Bo K.
        • et al.
        The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.
        Am J Obstet Gynecol. 1996; 175: 10-17