Effects of obesity surgery (laparoscopic sleeve gastrectomy technique) on lower urinary tract symptoms, depression and quality of life of males: Prospective study

  • Fatih Uruç | urucmd@gmail.com Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Serkan Akan Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Bekir Aras Department of Urology, Dumlupınar University, Evliya Çelebi Research and Training Hospital, Kütahya, Turkey.
  • Çaglar Yıldırım Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Aytaç Sahin Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Ozgur Haki Yuksel Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Mehmet Timuçin Aydın Department of General Surgery, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
  • Ayhan Verit Department of Urology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.

Abstract

Purpose: Technically, obesity weakens the pelvic base muscles by causing an increase in the intraabdominal pressure and intravesical pressure due to increasing fat and it triggers the occurrence of lower urinary tract symptoms. However it is believed that weight loss will cause recovery of these symptoms. Our purpose in this study is to research about the effects of the weight loss achieved by using especially the Laparoscopic Sleeve Gastrectomy (LSG) technique of bariatric surgery which is being more and more widely used today. Materials and Methods: Out of all patients who had LSG surgery due to obesity earlier in our center during the period between April 2014 and March 2015, 22 applicable male patients were considered after a brief exclusion criteria application. Age, height, weight, and body mass index (BMI) data of these patients were recorded before the operation. International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire - short from) (ICIQ-SF), Beck depression inventory (BECK) and Short form - 36 (SF-36) were filled for the patients and the data were recorded. Also, the weight loss amounts and BMI decreases of the patients after the operation were recorded. Results: After the procedure, the decrease in the averages of BECK depression inventory, IPSS, ICIQ-SF and the increase in the Mental and Physical subgroup scores of SF-36 were found statistically coherent. Conclusion: The adverse effect of obesity, which is observed more and more often in today's world, on lower urinary tract symptoms and on the quality of life is undeniable. In our study, we think that the bariatric surgery made by using the LSG technique, not only causes serious amount of weight loss, but also reduces urinary dysfunction and enhances the quality of life among males.

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Published
2016-12-30
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Section
Original Papers - Incontinence & Urodynamics
Keywords:
Obesity, Lower urinary system, Bariatric surgery, Sleeve gastrectomy, Quality of life
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How to Cite
Uruç, F., Akan, S., Aras, B., Yıldırım, Çaglar, Sahin, A., Yuksel, O. H., Aydın, M. T., & Verit, A. (2016). Effects of obesity surgery (laparoscopic sleeve gastrectomy technique) on lower urinary tract symptoms, depression and quality of life of males: Prospective study. Archivio Italiano Di Urologia E Andrologia, 88(4), 258-261. https://doi.org/10.4081/aiua.2016.4.258