pelviperineology. 2016; 35(4): 118-123 | DOI:

Bariatric surgery improves pelvic floor disorders

SILVIA PIÑANGO-LUNA¹, LUIS LEVEL-CORDOVA², MARINET MARQUEZ³, LOURDES CHAVES^4
1General Surgeon - Pelvic Floor Surgeon. Deputy Surgeon C I Service, Hospital Dr. Miguel Pérez Carreño, Caracas, Venezuela, ²General Surgeon - Bariatric Surgeon. Chief of Staff, C I Service, Hospital Dr. Miguel Pérez Carreño, Caracas, Venezuela., ³General Surgeon. Deputy Surgeon CI Service, Hospital Dr. Miguel Pérez Carreño, Caracas, Venezuela., ⁴General Surgeon, Caracas, Venezuela

Objective: To determine the frequency of pelvic floor disorders in patients with body mass index (BMI) greater than 30 Kg/m2 and patients who underwent a bariatric surgery with a weight loss greater than 10% of their initial BMI. Methods: Self-administered questionnaires assessing pelvic floor disorders were applied. Statistical analysis was performed using Chi-square and ANOVA results to determine statistical significance. Results: 98 and 53 patients were included, with a mean age (SD) of 37.49 (10.65) and 38.95 (7.86) and average BMI of 42.957 (5.98) and 28.18 (5.86) for Obesity and PBS groups respectively. The analysis of questionnaires for Obesity and PBS groups demonstrated:ICIQ-SF (UI 50% - 30.9%) p = 0.022, Sandvik (SUI: Mild: 44.1% - 87% Moderate: 47.5% - 13%, Severe: 1.7% -0% Very Severe: 6.8% -0%) p = 0.00, B-SAQ (“symptom”: 29,2% - 0%, “discomfort”: 27% - 1.8%) p = 0.00, OAB-V8 (49.5% -14.8%) p = 0.00, Wexner (10.7% - 1.9%) p = 0.05, PISQ-12 (Female sexual response: 46% - 35.2%, Female sexual Limitation 12.6% - 13%, Male sexual Limitation 17.2% - 7.4%) p = 0.05, p = 0.00, p = 0.00 respectively. Conclusion: Our results confirm that the Obesity group reported more pelvic floor disorders such as UI, SUI, OAB, Severe Fecal Incontinence and Sexual Dysfunctions. The PBS patients with weight loss ? 10% of initial BMI had less pelvic floor disorders. The overall FI including mild symptoms of fecal incontinence and flatus incontinence increased in the PBS group.

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PIÑANGO-LUNA S, LEVEL-CORDOVA L, MARQUEZ M, CHAVES L. Bariatric surgery improves pelvic floor disorders. 2016; 35(4): 118-123

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