The Impact of Bariatric Surgery on Urinary Incontinence: A Systematic Review and Meta-Analysis

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http://hdl.handle.net/10138/315293

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Lee , Y , Yu , J , Tikkinen , K A O , Pędziwiatr , M , Major , P , Aditya , I , Krakowsky , Y , Doumouras , A G , Gmora , S , Anvari , M & Hong , D 2019 , ' The Impact of Bariatric Surgery on Urinary Incontinence: A Systematic Review and Meta-Analysis ' , BJU International , vol. 124 , no. 6 , pp. 917-934 . https://doi.org/10.1111/bju.14829

Title: The Impact of Bariatric Surgery on Urinary Incontinence: A Systematic Review and Meta-Analysis
Author: Lee, Yung; Yu, James; Tikkinen, Kari A.O.; Pędziwiatr, Michał; Major, Piotr; Aditya, Ishan; Krakowsky, Yonah; Doumouras, Aristithes G.; Gmora, Scott; Anvari, Mehran; Hong, Dennis
Contributor: University of Helsinki, HUS Abdominal Center
Date: 2019-12
Language: eng
Number of pages: 18
Belongs to series: BJU International
ISSN: 1464-4096
URI: http://hdl.handle.net/10138/315293
Abstract: Abstract Objectives To systematically review and meta-analyze the impact of bariatric surgery on obese patients with urinary incontinence (UI). Methods A search of Medline, EMBASE, CENTRAL, and PubMed to June 2018 was performed using methods pre-published on PROSPERO. Reporting followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Studies comparing UI status in obese patients before and after bariatric surgery were included. Primary outcomes were the improvement or complete resolution of any UI, stress urinary incontinence (SUI), and urgency urinary incontinence (UUI). Secondary outcomes were validated UI questionnaire scores. The GRADE approach assessed overall quality of evidence. Results 33 cohort studies (2,910 patients) were included (median follow-up 12 months). Bariatric surgery resulted in improvement or resolution of any UI in 56% (95% confidence interval [CI] 48?63%), SUI in 47% (95% CI 34?60%), and UUI in 53% (95% CI 32?73%) of patients. Moreover, bariatric surgery significantly decreased (P
Subject: #Incontinence
FECAL INCONTINENCE
GRADE
INDUCED WEIGHT-LOSS
MORBIDLY OBESE WOMEN
OUTCOMES
OVERWEIGHT
PELVIC FLOOR DISORDERS
QUALITY-OF-LIFE
SYMPTOMS
bariatric surgery
obesity
stress urinary incontinence
urge urinary incontinence
urinary incontinence
3126 Surgery, anesthesiology, intensive care, radiology
3142 Public health care science, environmental and occupational health
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