ReviewInternational urogynecology journal2026
Impact of Surgical Weight Loss Interventions on Urinary Incontinence in Obese Women: Systematic Review and Meta-Analysis.
Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
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Abstract
introduction and hypothesisObesity is strongly associated with urinary incontinence (UI) in women, contributing to significant physical and psychological morbidity. Surgical weight loss interventions such as bariatric surgery are increasingly utilised to manage obesity and may offer therapeutic benefits for UI. This systematic review and meta-analysis aimed to evaluate the impact of bariatric surgery on urinary incontinence outcomes and related pelvic floor symptoms in obese women.
methodsFollowing PRISMA and Cochrane guidelines, a comprehensive literature search was performed across multiple databases (1998-2025). Eligible studies included obese adult women (BMI ≥30 kg/m
resultsThirty-nine studies encompassing 8960 women were included. Meta-analysis showed a significant improvement in UI incidence at 6, 12, and >12 months post-surgery. Pooled analysis from patient reported measures yielded RR 2.08, 95% CI 1.80-2.40, p = 0.00001, and objectively measured MD 3.62, 95% CI 2.57-4.67, all p = 0.00001. Mean BMI decreased significantly (MD 12.75, 95% CI 11.34-14.16, p = 0.00001) and QoL scores improved substantially (SMD 2.96, 95% CI 0.42-5.49, p = 0.001).
conclusionBariatric surgery is a highly effective intervention for improving urinary incontinence and related quality of life in obese women, with sustained benefits corresponding to significant reductions in BMI. Further long-term, standardised prospective studies are warranted to clarify the broader pelvic floor effects of surgical weight loss.
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