Weight loss surgery can help alleviate urinary incontinence
To keep Wednesday, July 23, 2014 (HealthDay News l) - Bariatric surgery appears to have an additional side effect - can improve the symptoms of urinary incontinence in women, according to a new study.
The study found that almost half of women in a program of weight loss surgery said they had incontinence before surgery. After surgery, reported that most of these women that their complaints at either improved or disappeared, said study researcher Dr. Leslee Subak, professor of obstetrics, gynecology and reproductive sciences, University of California at San Francisco School of Medicine.
Women "lost nearly 30 percent of their body weight, and about two-thirds had previously incontinence were cured in a year with this amount of weight loss. Among those who still incontinence, frequency of incontinence has improved greatly," Subak said.
Subak team must submit the results this week at the American Society of Urogynecology and urogynecological 2014 Scientific Meeting of the International Association in Washington, DC Research presented at medical meetings is typically published as preliminary until published in a peer-reviewed journal.
Severely obese women who were included in the study with an average BMI of 46 A woman who is 5 foot 4 inches tall, weighing 268 pounds, a BMI of 46.
Health experts relates to obesity and incontinence as the "twin epidemics". This is because 25 to 50 percent of women suffer from urinary incontinence after Subak. Of these, 70 percent are obese, said.
There are several types of weight loss surgery - also known as bariatric surgery. Most women in the study had, known as Gastric Bypass Roux-en-Y gastric band and method.
The improvement of incontinence symptoms during the follow-up study continued, Subak said.
"Both the weight loss and the improvement of incontinence was extended for three years. Three years [in] 60 percent had remission," he said. Discounts were defined as less incontinence episodes per week. "A quarter were completely dry," he said.
The amount of weight loss was the best predictor of whether incontinence improves or disappears found Subak. More lose because the odds improve urinary symptoms.
Subak described the very encouraging results.
In a previous study, Subak found a six-month weight loss and diet information has focused helped to reduce incontinence better than four weekly lessons on weight loss and physical activity on overweight women.
Dr. Amy Rosenman, a specialist in Urogynecology and Pelvic Surgery in Santa Monica, California, Sciences Clinical Professor at the University of California Los Angeles David Geffen School of Medicine Health, said the true results of the study rings in practice.
"I have patients who have lost weight and ended his Incontinence," he said. Those who noticed lost the use of non-surgical, an improvement, he said.
To reflect the new results, which by other researchers found, also, Rosenman, President-elect of the American Society of Urogynecology above said. "There are many other studies that weight loss improves leakage, probably due to a lower pressure, less weight pressing on the bladder above and page to show. So needless to say that bariatric surgery can also benefit [incontinence]," he said.
Like all surgeries, bariatric surgery is not without risks. The methods are accompanied by the possibility of infection, blood clots and myocardial infarction, inter alia, by the National Institutes of Health.
The costs of the operation are very different, from about $ 12,000 to $ 26,000, but sometimes covered by insurance.
Some of the co-authors of the report recommend subaks or consulting for companies such as Crospon, Covidien and Ethicon, production or products are involved in bariatric surgery.
Learn more
For more information on weight loss surgery, visit the National Institutes of Health.
Sources: Amy Rosenman, MD, clinical professor of computer science at the University of California Los Angeles David Geffen School of Medicine, Health and doctors in private practice in Santa Monica, California; Leslee Subak, MD, Professor of Obstetrics and Gynecology and Reproductive Sciences, University of California at San Francisco School of Medicine; From 22 to 26 July 2014, the American Society Urogynecology and of the 2014 International Association urogynecological a scientific meeting, Washington, DC
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