Background While 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. Methods A 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. Results Obese 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. Conclusions Obese 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.

Bariatric Surgery Improves Urinary Incontinence but Not Anorectal Function in Obese Women

SCOZZARI, Gitana;REBECCHI, Fabrizio;GIACCONE, Claudio;MORINO, Mario
2013-01-01

Abstract

Background While 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. Methods A 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. Results Obese 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. Conclusions Obese 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.
23
7
931
938
http://link.springer.com/article/10.1007%2Fs11695-013-0880-8
Gitana Scozzari;Fabrizio Rebecchi;Claudio Giaccone;Paolo Chiaro;Massimiliano Mistrangelo;Mario Morino
File in questo prodotto:
File Dimensione Formato  
bariatric surgeryart%3A10.1007%2Fs11695-013-0880-8.pdf

Accesso riservato

Tipo di file: PDF EDITORIALE
Dimensione 270.84 kB
Formato Adobe PDF
270.84 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Bariatric Surgery Improves Urinary Incontinence but Not Anorectal Function in Obese Women.pdf

Open Access dal 01/09/2014

Tipo di file: POSTPRINT (VERSIONE FINALE DELL’AUTORE)
Dimensione 339.58 kB
Formato Adobe PDF
339.58 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/129540
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 20
  • ???jsp.display-item.citation.isi??? 21
social impact