Background This study was designed to assess the prevalence and severity of pelvic floor dysfunctions (PFDs) as well as their impact on quality of life in obese women before and after gastric bypass surgery. Methods 60 obese (BMI 30 kg/m2) females completed 6 validated specific and quality of life (QoL) questionnaires about PFDs. All patients were evaluated by pelvic floor physical examination, endoanal sonography and dynamic MRI. 29 patients were reassessed with the same questionnaires 6 months after bariatric surgery. Results Mean age was 42.5±10.8 yrs and mean BMI was 43.4±7.2 kg/m2. Prevalence of PFDs was 80.0% and 54.2% of patients reported that their symptoms adversely impacted QoL. Urinary incontinence (UI) was the most common disorder (63.3%), with linear association between BMI and UI (r2 =0.08; p=0.03). Prevalence of fecal incontinence (FI) was 23.3% and it concerned only loss of gas in 57.1% of cases. Urogenital prolapse and rectocele were documented in 68.3% and 78% of patients respectively. 44% of patients complained symptoms of obstructed defecation. With mean BMI reduction of 10 kg/m2, prevalence of PFDs decreased to 62.1% (p=0.04) with a significant improvement of QoL. Prevalence of UI decreased to 17.2% (p=0.003) and reduction was associated with postoperative BMI (p=0.04). On the whole 75% of patients who complained UI and 100% of patients with FI reported resolution of symptoms postoperatively. Conclusion In this sample of obese women, PFDs were more common than in the general population and adversely impacted QoL. A clear association was found between BMI and UI. Weight loss results in improvement of UI and FI.
Changes in Pelvic Floor Disorders After Gastric Bypass in Obese Women: Preliminary Results of a Prospective Study / S. Cariani; D. Cuicchi; R. Lombardi; L. Leuratti; L. Agostinellli; P. Biondi; E. Amenta; B. Cola. - In: OBESITY SURGERY. - ISSN 0960-8923. - STAMPA. - 19:(2009), pp. 1017-1017. (Intervento presentato al convegno International Federation for the Surgery of Obesity and metabolic disorders. XIV World Congress tenutosi a Palais des Congrés (Porte Maillot) – Paris, France nel August 26-29, 2009).
Changes in Pelvic Floor Disorders After Gastric Bypass in Obese Women: Preliminary Results of a Prospective Study
CARIANI, STEFANO;CUICCHI, DAJANA;LOMBARDI, RAFFAELE;LEURATTI, LUCA;AMENTA, ENRICO;COLA, BRUNO
2009
Abstract
Background This study was designed to assess the prevalence and severity of pelvic floor dysfunctions (PFDs) as well as their impact on quality of life in obese women before and after gastric bypass surgery. Methods 60 obese (BMI 30 kg/m2) females completed 6 validated specific and quality of life (QoL) questionnaires about PFDs. All patients were evaluated by pelvic floor physical examination, endoanal sonography and dynamic MRI. 29 patients were reassessed with the same questionnaires 6 months after bariatric surgery. Results Mean age was 42.5±10.8 yrs and mean BMI was 43.4±7.2 kg/m2. Prevalence of PFDs was 80.0% and 54.2% of patients reported that their symptoms adversely impacted QoL. Urinary incontinence (UI) was the most common disorder (63.3%), with linear association between BMI and UI (r2 =0.08; p=0.03). Prevalence of fecal incontinence (FI) was 23.3% and it concerned only loss of gas in 57.1% of cases. Urogenital prolapse and rectocele were documented in 68.3% and 78% of patients respectively. 44% of patients complained symptoms of obstructed defecation. With mean BMI reduction of 10 kg/m2, prevalence of PFDs decreased to 62.1% (p=0.04) with a significant improvement of QoL. Prevalence of UI decreased to 17.2% (p=0.003) and reduction was associated with postoperative BMI (p=0.04). On the whole 75% of patients who complained UI and 100% of patients with FI reported resolution of symptoms postoperatively. Conclusion In this sample of obese women, PFDs were more common than in the general population and adversely impacted QoL. A clear association was found between BMI and UI. Weight loss results in improvement of UI and FI.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
