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Obesity Surgery

, Volume 29, Issue 2, pp 609–616 | Cite as

Laparoscopic Roux-En-Y Gastric Bypass Versus Sleeve Gastrectomy on Pelvic Floor Disorders in Morbidly Obese Women: a Prospective Monocentric Pilot Study

  • Clémentine Mazoyer
  • Patrick Treacy
  • Laurent Turchi
  • Paul Antoine Lehur
  • Emmanuel Benizri
  • Antonio IannelliEmail author
Original Contributions
  • 73 Downloads

Abstract

Background

Obesity is a well-known risk factor for female pelvic floor disorders (PFD). This study assessed the effects of bariatric surgery (BS) on pelvic organ prolapse symptoms (POPs) and urinary (UI) and anal incontinence (AI) in morbidly obese women undergoing either sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB).

Methods

Morbidly obese women undergoing BS from June 2016 to May 2017 were prospectively included. POPs, UI, and AI were compared at baseline and at 1 year after surgery using validated questionnaires.

Results

Seventy-two consecutive women were enrolled, 54 (75%) (30 (56%) RYBP and 24 (44%) SG) completed the study at 1 year and were considered for the final analysis. The mean age and mean preoperative BMI were 43 ± 11.8 years (range, 20–65) and 41 ± 5.4 kg/m2 (range, 35–56), respectively. At baseline, 30 (56%), 32 (59%), and 27 (50%) patients, respectively, had AI (flatus only 72%), UI, and POPs. The mean TBWL% at 1 year was 33%. In the whole study population, weight loss was associated with a significant improvement in UI (p < 0.001) but there was no significant difference in terms of AI and POPs. In the subgroups analysis, AI increased significantly 1 year after the RYGB (p = 0.02) due to an increase in flatus incontinence (p = 0.04). No significant difference in AI was found 1 year after the SG.

Conclusion

BS is associated with a significant improvement in UI but not in POPs. RYBP seems to increase AI, mainly flatus incontinence, compared to SG.

Keywords

Bariatric surgery Obesity Pelvic floor disorders Anal incontinence Urinary incontinence Pelvic organ prolapse Roux-en-Y gastric bypass Sleeve gastrectomy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Patients were informed through a written notice on the purpose of the study.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Digestive Unit, Archet 2 HospitalUniversity Hospital of NiceNiceFrance
  2. 2.Université Côte d’AzurNiceFrance
  3. 3.Inserm U1091 - CNRS UMR7277 - Institut de Biologie ValroseUniversité Nice Sophia AntipolisNiceFrance
  4. 4.Department of Digestive and Endocrine SurgeryUniversity Hospital of NantesNantesFrance
  5. 5.Inserm, U1065, Team 8 “Hepatic complications of obesity”NiceFrance
  6. 6.Service de Chirurgie Digestive et Centre de Transplantation HépatiqueHôpital Archet 2Nice Cedex3France

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