Long-term quality of life and pelvic floor dysfunction after bariatric surgery
Long-term quality of life and pelvic floor dysfunction after bariatric surgery
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DOI：
10.1016/j.ajog.2012.06.041
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发表时间：
2012-11-01
影响因子：
9.8
通讯作者：
Brodman, Michael L.
中科院分区：
文献类型：
--
作者：
Olivera, Cedric K.;Herron, Daniel M.;Brodman, Michael L.
目的：评价减重手术对病态肥胖女性盆底调节的生活质量的影响。研究设计：对44名接受减重手术的女性进行前瞻性队列研究。结果：36名女性给出了减重手术后平均3.15年的基线数据。尽管尿液影响问卷得分有所改善(-34.92，P=.0020)，但尽管体重显著减轻，结直肠-肛门影响问卷和盆腔器官脱垂调查问卷得分并没有改善。基线女性性功能指数得分较低(17.70+/-8.38)，且不随体重减轻而改善(16.91+/-9.75，P=.5832)。盆腔器官脱垂/尿失禁性行为问卷评分较术前明显改善(术前35.78+/-6.06对术后38.22+/-6.03，P=0.0193)。结论：减肥手术与尿失禁对生活质量的影响显著相关。性功能较差，仅在评估尿失禁的盆腔器官脱垂/尿失禁性行为问卷上有所改善。
OBJECTIVE: To evaluate effects of bariatric surgery on pelvic floor mediated quality of life in morbidly obese women.STUDY DESIGN: Prospective cohort study of 44 women undergoing bariatric surgery.RESULTS: Thirty-six women gave data at baseline and at mean follow-up of 3.15 years following bariatric surgery. Although urinary impact questionnaire scores improved (-34.92, P = .0020), colorectal-anal impact questionnaire and pelvic organ prolapse impact questionnaire scores did not improve despite significant weight loss. Baseline female sexual function index scores were low (17.70 +/- 8.38) and did not improve with weight loss (16.91 +/- 9.75, P = .5832). Pelvic organ prolapse/urinary incontinence sexual questionnaire scores did improve (35.78 +/- 6.06 preoperatively vs 38.22 +/- 6.03 postoperatively, P = .0193).CONCLUSION: Bariatric surgery is associated with significant improvement in the impact of urinary incontinence on quality of life. Sexual function was poor, and improved only on the pelvic organ prolapse/urinary incontinence sexual questionnaire that evaluated urinary incontinence.