E-Posters-10160

10160_Gabriel

Pdf Summary

This study aimed to determine the effects of surgically-induced weight loss on pelvic organ prolapse (POP) and urinary incontinence (UI) symptoms in obese women who have undergone weight-loss surgery. The researchers surveyed women with a BMI greater than 40 kg/m2 who had undergone bariatric surgery between 2007 and 2015. 447 women responded to the survey, with a mean time from surgery to the survey of 4.5-5 years. <br /><br />The results showed that the hazard ratios for women with any UI, stress UI, urgency UI, and prolapse decreased with increasing weight loss quartile. This association was stronger when adjusting for confounders such as age, parity, smoking, hysterectomy, type of bariatric surgery, and presence of UI or prolapse before surgery. The prevalence of POP symptoms was 26%, with a mean bother score of 50. <br /><br />The study also found that greater weight loss after bariatric surgery was associated with an improvement in POP and UI symptoms up to 9 years after the surgery. However, the improvement in bother symptoms (as measured by UDI-6, POPDI-6, and PFDI-20 scores) was not statistically significant due to a small number of cases.<br /><br />In conclusion, this study suggests that greater weight loss after bariatric surgery is associated with a greater improvement in POP and UI symptoms in obese women up to 9 years following the surgery. However, further research is needed to better understand the long-term effects of weight loss surgery on these symptoms.

Keywords

weight loss

pelvic organ prolapse

urinary incontinence

obese women

bariatric surgery

hazard ratios

POP symptoms

UI symptoms

improvement

long-term effects