Effect of Bariatric Sleeve Gastrectomy Technique on Women's Lower Urinary Tract Symptoms and Quality of Life: A Prospective Study

Amaç Obezite; yağlanma artışı nedeniyle intraabdominal/intravesikal basınçta artışa neden olarak pelvik taban kaslarını zayıflatır ve alt üriner sistem semptomlarının (AÜSS) oluşmasını tetikler. Kilo kaybının ise bu semptomlarda düzelmeye yol açacağına inanılmaktadır. Bizim bu çalışmadaki amacımız günümüzde gittikçe artan sayılarda uygulanan bariatrik cerrahinin özellikle Sleeve gastrektomi (SG) tekniği uygulanarak sağlanan kilo kaybının kadınlarda AÜSS ve yaşam kalitesine olan etkilerini araştırmaktır. Gereç ve Yöntem Nisan 2014 ila Mart 2015 tarihleri arasında merkezimizde obezite nedeniyle laparoskopik SG cerrahisi geçiren hastalardan dışlama kriterleri sonrasında uygun olan 53 kadın hasta çalışmaya dahil edildi. Hastaların operasyon öncesi yaş, boy, kiloları ve vücut kitle indeksleri (VKİ) preoperatif ve postoperatif olarak kaydedildi. Hastalara preoperatif ve postoperatif olarak Beck depresyon ölçeği (BDI), Uluslar arası prostat semptom skoru (IPSS), Uluslar arası idrar kaçırma sorgulama formu (ICIQSF) ve short form-36 (SF-36) doldurularak verileri kaydedildi. Ayrıca hastaların operasyon sonrası kilo kayıpları ve VKİ düşüşleri de kaydedildi. Bulgular Operasyon öncesine göre operasyon sonrası BDI, IPSS, ICIQ-SF ortalamalarında görülen düşüş ve SF-36'nın mental ve fiziksel ortalama skorlarında görülen artış istatistiksel olarak anlamlı bulundu. Sonuç Bu çalışmada bariatrik obezite cerrahisinin kadınlarda dramatik kilo kaybı ile birlikte AÜSS üzerinde düzelme ve yaşam kalitesinde artış sağlayabileceğini düşünmekteyiz.

Bariatrik Sleeve Gastrektomi Tekniğinin Kadın Alt Üriner Sistem Semptomları ve Yaşam Kalitesi Üzerine Etkisi: Prospektif Bir Çalışma

Objective Obesity triggers lower urinary tract symptoms (LUTS) secondary to accumulation of excess fat which may lead to increase in intra-abdominal/ intravesical pressures and subsequent impairment in pelvic floor muscles. However, it is considered that weight loss resolve these symptoms. In this study, we aimed to investigate the effects of bariatric surgery and especially Sleeve gastrectomy (SG) on women's LUTS, and quality of life. Materials and Methods A total of 53 patients who have undergone laparoscopic SG in our clinics between April 2014 and March 2015 were included in this prospective study. Age, body weight and body mass index (BMI) of the participants were preoperatively and postoperatively recorded. The patients have pre/post-operatively filled the Beck depression inventory (BDI), International prostate symptom score (IPSS), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the 36-Item Short Form health survey (SF-36) scores were recorded. Additionally, post-operative decrease in body weight and BMI of the patients was recorded. Results There was a statistically significant decrease in mean BDI, IPSS and ICIQ-SF scores and SF-36 (prominent increment in physical and mental component summary (PCS and MCS) scores), when compared with pre-operative values. A positive correlation was found between BMI and parameters including age, BDI and IPSS. However, no significant correlation was present between BMI and the parameters including ICIQSF, PCS and MCS. Conclusion Negative effect of obesity on LUTS and quality of life cannot be ignored. We assume that bariatric surgery can induce dramatic weight loss, amelioration in symptoms of urinary dysfunction and increase in quality of life of women.

Kaynakça

Obesity and overweight, Fact sheet. N°311: WHO; 2011. Available from: htttp:// www.who.int/mediacentre/factsheets/fs311/en.

Çıtak Akbulut G, Özmen MM, Besler HT. Obezite çağın hastalığı. TÜBİTAK Bilim ve Teknik Dergisi 2007;1-9.

World Health Organization. WHO global database on body mass index.

World Health Organization. Obesity and Overweight [acesso em 28 set 2012]. Disponível em: http://www.who.int/mediacentre/factsheets/fs311/ en/

Satman I, Yilmaz T, Sengul A, Salman S, Salman F, Uygur S, Bastar I, Tutuncu Y, Sargin M, Dinccag N, Karsidag K, Kalaca S, Ozcan C, King H. Population-based study of diabetes and risk characteristics in Turkey: results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care 2002;25:1551-1556.

Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, Karsidag K, Genc S, Telci A, Canbaz B, Turker F, Yilmaz T, Cakir B, Tuomilehto J, Group T-IS. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013;28:169-180.

Sjostrom L, Narbro K, Sjostrom CD, Karason K, Larsson B, Wedel H, Lystig T, Sullivan M, Bouchard C, Carlsson B, Bengtsson C, Dahlgren S, Gummesson A, Jacobson P, Karlsson J, Lindroos AK, Lonroth H, Naslund I, Olbers T, Stenlof K, Torgerson J, Agren G, Carlsson LM, Swedish Obese Subjects S. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 2007;357:741-752.

Colquitt JL, Picot J, Loveman E, Clegg AJ. Surgery for obesity. Cochrane Database Syst Rev 2009;CD003641.

Dixon JB, le Roux CW, Rubino F, Zimmet P. Bariatric surgery for type 2 diabetes. Lancet 2012;379:2300-2311.

Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg 2013;23:427-436.

Taylor K. Bariatric surgery fact sheet. American society for metabolic and bariatric Surgery web site. Accessed February 23, 2011. Available from: http//www.asbs.org/Newsite07/media/asmbs_fs_surgery.pdf.

Bai SW, Kang JY, Rha KH, Lee MS, Kim JY, Park KH. Relationship of urodynamic parameters and obesity in women with stress urinary incontinence. J Reprod Med 2002;47:559-563.

Han MO, Lee NY, Park HS. Abdominal obesity is associated with stress urinary incontinence in Korean women. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:35-39.

Wasserberg N, Haney M, Petrone P, Ritter M, Emami C, Rosca J, Siegmund K, Kaufman HS. Morbid obesity adversely impacts pelvic floor function in females seeking attention for weight loss surgery. Dis Colon Rectum 2007;50:2096-2103.

Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 2009;5:469-475.

Brethauer SA. Sleeve gastrectomy. Surg Clin North Am 2011;91:1265- 1279, ix.

Buchwald H, Oien DM. Metabolic/bariatric surgery Worldwide 2008. Obes Surg 2009;19:1605-1611.

Karamanakos SN, Vagenas K, Kalfarentzos F, Alexandrides TK. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg 2008;247:401-407.

Melissas J, Daskalakis M, Koukouraki S, Askoxylakis I, Metaxari M, Dimitriadis E, Stathaki M, Papadakis JA. Sleeve gastrectomy-a "food limiting" operation. Obes Surg 2008;18:1251-1256.

Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 2009;5:469-475.

Gill RS, Birch DW, Shi X, Sharma AM, Karmali S. Sleeve gastrectomy and type 2 diabetes mellitus: a systematic review. Surg Obes Relat Dis 2010;6:707-713.

Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am 1967;47:1345-1351.

Vella VL, Jaffe W, Lidicker J, Meilahn J, Dandolu V. Prevalence of urinary symptoms in morbidly obese women and changes after bariatric surgery. J Reprod Med 2009;54:597-602.

Ranasinghe WK, Wright T, Attia J, McElduff P, Doyle T, Bartholomew M, Hurley K, Persad RA. Effects of bariatric surgery on urinary and sexual function. BJU Int 2011;107:88-94.

Palleschi G, Pastore AL, Rizzello M, Cavallaro G, Silecchia G, Carbone A. Laparoscopic sleeve gastrectomy effects on overactive bladder symptoms. J Surg Res 2015;196:307-312.

Merrell J, Brethauer S, Windover A, Ashton K, Heinberg L. Psychosocial correlates of pelvic floor disorders in women seeking bariatric surgery. Surg Obes Relat Dis 2012;8:792-796.

Snyder AR, Martinez JC, Bay RC, Parsons JT, Sauers EL, Valovich McLeod TC. Health-related quality of life differs between adolescent athletes and adolescent nonathletes. J Sport Rehabil 2010;19:237-248.

Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.1b 1.5b

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