Does Bariatric Surgery Affect Urinary Incontinence?

被引：9

作者：

Knoepp, Leise R.

Semins, Michelle J.

Wright, E. James

Steele, Kimberly

Shore, Andrew D.

Clark, Jeanne M.

Makary, Martin A.

Matlaga, Brian R.

Chen, Chi Chiung Grace

机构：

[1] Ochsner Med Ctr, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, New Orleans, LA 70121 USA

[2] Univ Pittsburgh Phys, Dept Urol, Pittsburgh, PA USA

[3] Johns Hopkins Sch Med, James Buchanan Brady Urol Inst, Johns Hopkins Bayview Med Ctr, Baltimore, MD USA

[4] Johns Hopkins Sch Med, Johns Hopkins Bayview Med Ctr, Dept Surg, Baltimore, MD USA

[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

[6] Johns Hopkins Sch Med, Dept Gen Internal Med, Baltimore, MD USA

[7] Johns Hopkins Sch Med, Johns Hopkins Qual & Safety Res Grp, Dept Surg, Baltimore, MD USA

[8] Johns Hopkins Med Inst, James Buchanan Brady Urol Inst, Baltimore, MD 21205 USA

[9] Johns Hopkins Sch Med, Dept Gynecol & Obstet, Div Female Pelv Med & Reconstruct Surg, Baltimore, MD USA

来源：

UROLOGY | 2013年 / 82卷 / 03期

关键词：

FREE VAGINAL TAPE; STRESS-INCONTINENCE; OBESE WOMEN; WEIGHT-LOSS;

D O I：

10.1016/j.urology.2013.04.042

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE To determine International Classification of Disease, 9th Revision, (ICD-9) coding patterns as a proxy for incidence and prevalence of urinary incontinence (UI) in a population of patients before and after a bariatric surgical procedure for the treatment of obesity. METHODS We evaluated claims from a national private insurer over a 5-year period (2002-2006) to identify female patients who underwent bariatric surgery and had 3 years of follow-up claims data. The cohort of patients who underwent bariatric surgery (treatment) was matched to a cohort of obese female patients who did not undergo bariatric surgery (control), who were followed from the start of their enrollment. UI was identified by ICD-9 coding. RESULTS After bariatric surgery, 62.4% of patients (83/133) diagnosed with UI before their surgery no longer had a coding diagnosis of UI. In contrast, only 42.1% (56/133) of those in the nonbariatric surgery cohort lost their coding diagnosis of UI (P=.0009). Of those that did not have pre-existing UI, 6.2% (235/3765) of the bariatric surgery cohort gained a new coding diagnosis of UI vs 7.1% (269/3765) of the control group (P=.1169). Our final model suggested that age >45 years (P<.0001) and pre-existing UI (P<.0001) were significantly associated with post-index date UI. Interaction between bariatric surgical status and UI was also significant (P<.0001). CONCLUSION Patients who undergo bariatric surgery are more likely to lose a previous diagnosis of UI than are obese patients not treated with bariatric surgery. This supports the fact that bariatric surgery may have other indirect benefits to the obese population. (C) 2013 Elsevier Inc.

引用

页码：547 / 551

页数：5

共 21 条

[21] Improving Urinary Incontinence in Overweight and Obese Women Through Modest Weight Loss
Wing, Rena R.
Creasman, Jennifer M.
West, Delia Smith
Richter, Holly E.
Myers, Deborah
Burgio, Kathryn L.
Franklin, Frank
Gorin, Amy A.
Vittinghoff, Eric
Macer, Judith
Kusek, John W.
Subak, Leslee L.
[J]. OBSTETRICS AND GYNECOLOGY, 2010, 116 (02) : 284 - 292

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