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Effects of Bariatric Surgery on the Kidneys and Urinary Tract

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The Globesity Challenge to General Surgery

Abstract

With the epidemic of obesity widely acknowledged in the USA and developed countries worldwide, physicians can expect to see sharp rises in the prevalence of obesity-related renal disease and its complications. The effects of obesity on the kidneys are now better, although not fully understood. Obesity impacts the prevalence of renal cancer and renal calculi and influences the technical aspects associated with their treatment. It also impacts the functions of the urinary bladder with higher rates of urinary incontinence and its associated social embarrassment. The prostate is also affected by being obese. General surgeons should be aware of the effects obesity has on the urinary tract and associated organs and adopt appropriate strategies when treating these patients. With the continued progression of laparoscopic surgery and the increasing use of robotic surgery for urinary tract procedures, a working knowledge of obesity and its consequences is essential to safely treat such patients. This chapter details the main effects obesity has on the kidney and urinary tract including the prostate and offers technical tips to the general surgeon for everyday practice.

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Correspondence to Marina S. Kurian MD .

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Kurian, M.S., Loy, J.J. (2014). Effects of Bariatric Surgery on the Kidneys and Urinary Tract. In: Foletto, M., Rosenthal, R. (eds) The Globesity Challenge to General Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5382-3_12

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  • DOI: https://doi.org/10.1007/978-88-470-5382-3_12

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