Effects of Bariatric Surgery on Pelvic Floor Fonctions in Obese Women

Study Overview
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Brief Summary
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Urinary incontinence is well documented as a comorbidity of obesity. Studies demonstrate improvement of incontinency after weight loss. However, the mechanisms are still not clear. Aim of our study to analyze the effects of bariatric surgery on pelvic floor function in women.

Detailed Description
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Obesity is considered an important public health problem, both in developed and developing countries. Obese people are at a higher risk for developing various comorbidities: type II diabetes, dyslipidemia, cardiovascular and cerebrovascular diseases, coagulation disorders, degenerative joint disease, some types of cancer, sleep apnea and urinary incontinence Women suffering from obesity are more likely to develop urinary incontinence, especially when related to stress. Excess weight is a modifiable risk factor. It is believed that weight reduction may be an effective treatment for urinary incontinence. The aim of this study is to analyze the effects of weight loss induced by bariatric surgery on pelvic floor function. Taking into account that modest weight loss (5% to 10%) already brings benefits to women with obesity and incontinence, one may assume even more marked improvement owing to the massive loss of weight by surgical means.

Official Title
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Effects of Bariatric Surgery on Pelvic Floor in Obese Women

Conditions
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Urinary Incontinence, Obesity

Intervention / Treatment
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* Procedure: bariatric surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Body mass index ≥ 40 kg/m2 >18 years old participants who provided written informed consent Exclusion Criteria: History of gynecologic operation time under one year History of pelvic physiotherapy Chronic obstructif lung disease Norologic disease Women in menopause

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| obese women who underwent bariatric surgery<br>obese women who underwent bariatric surgery | Procedure: bariatric surgery<br>* bariatric surgery for obese women<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| urodynamic parameters | effect of bariatric surgery on urodynamic parameters in obese women | after six month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary incontinence | effect of bariatric surgery on urinary incontinance in obese women | after six month | 
| oxford scales | effect of bariatric surgery on oxford scales in obese women | after six month | 
| health quality scores | effect of bariatric surgery on health quality scores in obese women | after six month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obesity, Bariatric surgery, Urinary incontinence, Pelvic floor