Table 3.
Effects of surgical weight loss on UI
Study | N | Follow-up (months) |
BMI (or wt) Δ | Δ in prevalence of UI episodes |
Other outcomes |
---|---|---|---|---|---|
Deitel et al (66), 1988 |
138 | ? | 124 to 79 kg | 61.2% to 11.6% (P < 0.001) |
After wt loss, infertility, menstrual irregularities and obstetric complications improved |
Bump et al (67), 1992 |
13 | 12 | BMI: 49.4 to 33.1 (131.5 to 88.1 kg) |
92.3% to 23.1% (P = 0.004) |
Improvements seen in: - vesical pressure - Δ in vesical pressure with cough - urethral mobility - need for absorptive pads |
Sugerman et al (75), 1998 |
15 | 12 | BMI: 52 to 33 (140 to 87 kg) |
46.6% to 0% (P < 0.001) |
Significant changes in: - sagittal abdominal diameter (32 to 20 cm, P < 0.0001 ) - urinary bladder pressure (17 to 10 cmH2O, P < 0.001 ) |
Frigg et al (77), 2004 |
233 | 44 | Excess wt loss at 4 year follow up was 54% |
Of the 26% of all patients with preop SUI, 58% were cured at 2 years follow-up |
Improvements also seen in other medical co- morbidities (HTN, DM, GERD, etc) |
Burgio et al (78), 2007 |
101 | 12 | 48.9 to 30.2 | 66.7% to 37% (P < 0.001) |
- FI prevalence decreased from 19.4% to 8.6% (P = 0.018) - Decrease in UI was significantly associated with decrease in BMI |