The average impact of bariatric surgery on quality of life corresponded to an effect size of 0.88 ( 95 % CI : 0.80 - 0.96 ) , indicating that bariatric surgery has a significant positive influence on quality of life in general .
The impact varied considerably across studies with bariatric surgery showing a significantly greater positive influence on physical quality of life compared to mental quality of life .
Bariatric surgery is effective in improving quality of life , especially when looking at physical well-being .
Greater focus on the psychological well-being of the person undergoing surgery for obesity may lead to a better post-surgery prognosis for more people
This study aims to review the obesity literature in order to assess the impact of bariatric surgery on quality of life and the between- study variation by examining the st and ardized mean magnitude of effect in change in the levels of quality of life .
Changes in Urinary and Fecal Incontinence Symptoms With Weight Loss Surgery in Morbidly Obese Women
OBJECTIVE : To examine changes in the prevalence and severity of urinary incontinence ( UI ) and fecal incontinence in morbidly obese women undergoing laparoscopic weight loss surgery .  METHODS : In a prospect i ve cohort study , 101 women ( aged 20–55 years ) with body mass index ( BMI ) of 40 or more underwent laparoscopic Roux-en-Y gastric bypass  and were followed to 6 and 12 months . Presence , severity , and effect of UI were assessed using the Medical , Epidemiological , and Social Aspects of Aging Question naire , Urogenital Distress Inventory , and Incontinence Impact Question naire . Fecal incontinence was assessed by self-report of anal leakage . RESULTS : Mean BMI decreased from 48.9±7.2 presurgery to 35.3±6.5 at 6 months and 30.2±5.7 at 12 months postsurgery . Prevalence of UI decreased from 66.7 % presurgery to 41.0 % at 6 months and 37.0 % at 12 months ( P<.001 ; 95 % confidence interval [ CI ] for change 18.6–40.0 % ) . Reduction in prevalence of UI was significantly associated with decreases in BMI ( P=.01 ) . Among incontinent women who lost 18 or more BMI points , 71 % regained urinary continence at 12 months . Medical , Epidemiological , and Social Aspects of Aging Question naire urge and stress scores decreased ( both P<.001 ; 95 % CI 0.5–1.85 and 2.71–5.34 , respectively ) , as did scores on the Urogenital Distress Inventory ( P<.001 ; 95 % CI 8.31–16.21 ) and Incontinence Impact Question naire ( P<.001 ; 95 % CI 4.71–14.60 ) , indicating reduction in severity . Prevalence of fecal incontinence ( solid or liquid stool ) decreased from 19.4 % to 9.1 % at 6 months and 8.6 % at 12 months ( P=.018 ; 95 % CI 2.1–19.4 % ) . CONCLUSION : Prevalence of UI and fecal incontinence decreased after bariatric surgery . Magnitude of weight loss was associated with reduction in UI prevalence , strengthening the inference that improvements are attributable to weight loss . LEVEL OF EVIDENCE :
The average impact of bariatric surgery on quality of life corresponded to an effect size of 0.88 ( 95 % CI : 0.80 - 0.96 ) , indicating that bariatric surgery has a significant positive influence on quality of life in general .
The impact varied considerably across studies with bariatric surgery showing a significantly greater positive influence on physical quality of life compared to mental quality of life .
Bariatric surgery is effective in improving quality of life , especially when looking at physical well-being .
Greater focus on the psychological well-being of the person undergoing surgery for obesity may lead to a better post-surgery prognosis for more people
This study aims to review the obesity literature in order to assess the impact of bariatric surgery on quality of life and the between- study variation by examining the st and ardized mean magnitude of effect in change in the levels of quality of life .