ArticleObesity surgery2013
Bariatric surgery improves urinary incontinence but not anorectal function in obese women.
Article in Obesity surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The impact of bariatric surgery on urinary incontinence: a systematic review and meta-analysis.International urogynecology journal · 2019Pooled it
- Effects of Sleeve Gastrectomy on Pelvic Floor Disorders in Female Patients with Severe Obesity: a Prospective Study.Obesity surgery · 2023Trial
- Impact of Surgical Weight Loss Interventions on Urinary Incontinence in Obese Women: Systematic Review and Meta-Analysis.International urogynecology journal · 2026Review
- Evaluating the influence of metabolic bariatric surgery on urinary and fecal incontinence outcomes: a one-year postoperative analysis.Langenbeck's archives of surgery · 2025Observational
- Impact of weight loss on the risk of urinary incontinence: the role of sex and body type.World journal of urology · 2024Article
- Impact of bariatric surgery on urinary incontinence in morbidly obese individuals.Surgical endoscopy · 2022Article
- Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery.Journal of clinical medicine research · 2022Review
- A prospective study of anal symptoms and continence among obese patients before and after bariatric surgery.Techniques in coloproctology · 2020Article
- Changes in bowel habits after laparoscopic sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
- Laparoscopic Roux-En-Y Gastric Bypass Versus Sleeve Gastrectomy on Pelvic Floor Disorders in Morbidly Obese Women: a Prospective Monocentric Pilot Study.Obesity surgery · 2019Article
- Is Bariatric Surgery a Prophylaxis for Pelvic Floor Disorders?Obesity surgery · 2018Article
- Obesity and Stress Urinary Incontinence: Impact on Pathophysiology and Treatment.Current urology reports · 2018Review
- Are Obese Patients at an Increased Risk of Pelvic Floor Dysfunction Compared to Non-obese Patients?Obesity surgery · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile the association between obesity and urinary incontinence (UI) in women has been clearly documented, the relationship with anal incontinence (AI) is less well defined; moreover, while bariatric surgery has been shown to improve UI, its effect on AI is still unclear.
methodsA total of 32 obese women were studied by means of PFDI-20 and PFIQ-7 questionnaires and anorectal manometry before and after bariatric surgery and compared with 71 non-obese women.
resultsObese women showed worse overall questionnaire results (OR 5.18 for PFDI-20 and 2.66 for PFIQ-7). Whereas obese women showed worse results for urinary sub-items and a higher urge UI incidence (43.8 vs 18.3 %, p = 0.013), they did not show worsening in colorecto-anal symptoms. Post-operatively, median PFDI-20 total score did not change (24.2 vs 26.6, p = ns), while there was an improvement in urinary score (14.6 vs 8.3, p < 0.001); median PFIQ-7 improved (4.8 vs 0.0, p = 0.044), but while the urinary score improved (2.4 vs 0.0, p = 0.033), the colorecto-anal score did not change significantly. Although after surgery urge UI decreased from 43.8 to 15.6 % (p = 0.029), the incidence of any AI increased from 28.1 to 40.6 % (p = ns) and flatus incontinence increased from 18.8 to 37.5 % (p = ns). Anorectal manometry did not show significant changes after surgery.
conclusionsObese women had worse questionnaire results, but while showing a higher incidence of UI, they did not experience anorectal function worsening. After bariatric surgery, there was a slight improvement in PFD symptoms related to UI, but anorectal function did not change significantly and flatus incontinence increased.
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Registered trials
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