[The impact of bariatric surgery on urinary incontinence symptoms in women with morbid obesity].

INTRODUCTION

Obesity is a significant risk factor for urinary incontinence. Research suggests that weight loss, including bariatric surgery, helps reduce urinary incontinence.

STUDY

OBJECTIVE

To evaluate the effect of weight loss following bariatric surgery on urinary incontinence in patients with morbid obesity.

MATERIALS AND

METHODS

Fifty-eight patients were included in the study. All patients underwent bariatric surgery for weight loss. The examination included the UDI-6, ICIQ-SF, and I-QoL questionnaires, a vaginal examination with a cough stress test, bladder ultrasound with residual urine determination, and uroflowmetry. Results were assessed at 3, 6, and 12 months postoperatively.

RESULTS

The most significant reduction in body mass index and urinary incontinence symptoms was observed in the first 6 months after surgery. Urodynamic studies revealed no statistically significant changes. One year after surgery, urinary incontinence persisted in 15.5% of patients.

CONCLUSION

Weight loss after bariatric surgery significantly reduces urinary incontinence symptoms. Most patients noted objective improvement one year after surgery. Risk factors for symptom persistence include menopause, multiple pregnancies, and a history of pelvic surgery.