Navigation Links
Weight-Loss Surgery May Ease Incontinence in Women
Date:1/13/2011

By Randy Dotinga
HealthDay Reporter

THURSDAY, Jan. 13 (HealthDay News) -- In an encouraging sign for severely obese women who suffer from incontinence, a new Australian study says that many gain control over urination after undergoing gastric-band weight-loss surgery.

"This could be an additional benefit for females undergoing the procedure," said Dr. Weranja K.B. Ranasinghe, the study's lead author.

"A number of large studies have showed the link between obesity and urinary incontinence, especially in females," Ranasinghe said. "Gastric banding surgery is being used more commonly as an option for weight loss in the obese population, with good effect. But very little is known about the urological issues following gastric banding, so we attempted to investigate this."

In laparoscopic gastric banding, one of the most common forms of weight-loss surgery, surgeons place a band around the top of the stomach, creating a small pouch, which reduces the amount of food people can eat before feeling full.

Obesity is a growing health issue worldwide, increasing the risk for heart disease, high blood pressure, diabetes and cancer. More than half of the people in Australia are overweight or obese, said Ranasinghe, who works in the urology department at Austin Hospital in Melbourne. Also, about one in four people has some form of urinary incontinence, which may be attributable to obesity.

For the study, published in the January issue of the British Journal of Urology International, the researchers analyzed surveys completed by 142 women (average age, 48) and 34 men (average age, 53) who underwent gastric band surgery over a decade at a clinic in Australia. The participants were asked to recall their urinary and erectile dysfunction symptoms before and after surgery.

Sixty-five percent of the women said they had incontinence before to the surgery, as did about a quarter of the men.

The high numbers suggest, but don't prove, that obesity may play a role. "In females, it is thought that the excess weight around the abdominal region increases the pressure on the bladder, causing urinary incontinence, especially when coughing, laughing or sneezing," Ranasinghe said. "In males, this is a more complex mechanism and is poorly understood."

On average, men and women lost about 50 pounds after gastric banding, the researchers found.

Overall, incontinence improved after surgery among the women, but they suffered from more "urge incontinence" -- urination that usually occurs after a sudden urge to urinate. The overall improvement may have occurred because weight loss reduces pressure on the urinary tract, Ranasinghe said.

Symptoms of incontinence in men did not improve after surgery, the study found.

And though 83 percent of the men reported erectile dysfunction before the procedure, overall they said they had more sexual problems afterward.

Ranasinghe said the study numbers for men were small, making it hard to determine if weight loss actually worsened sexual functioning. Also, improvement may take time. The long-term benefits of weight loss, including improvement in blood vessels, are thought to reduce erectile dysfunction, Ranasinghe said.

The study did not analyze sexual sensitivity in the women.

Dr. Natan Bar-Chama, director of male reproductive medicine and surgery at Mount Sinai School of Medicine in New York City, said the study's value is limited because it relies on people's recollections.

However, the findings regarding women and incontinence are consistent with other research, he said.

As for men, it's known that weight loss helps improve erectile dysfunction, he said, although the specific effects of weight-loss surgery still need to be studied.

More information

The American Academy of Family Physicians has more about urinary incontinence.

SOURCES: Weranja K.B. Ranasinghe, M.B.B.S., M.R.C.S., department of urology, Austin Hospital, Melbourne, Victoria, Australia; Natan Bar-Chama, M.D., director, male reproductive medicine and surgery, Mount Sinai School of Medicine, New York City; January 2011, British Journal of Urology International


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Weight-loss surgery improved female urinary problems but male erection issues got worse
2. Mental Imagery a New Weight-Loss Tool?
3. Online Feedback May Boost Weight-Loss Success
4. Weight-Loss Drug Meridia Pulled From U.S. Market
5. Prepared meals and incentivized weight-loss program for obese and overweight women
6. Weight-Loss Surgery for Teens May Be Gaining Advocates
7. Weight-Loss Surgery May Cut Type 2 Diabetes Medication Use
8. Complications From Weight-Loss Surgery Relatively Low
9. Body-image distortion predicts onset of unsafe weight-loss behaviors
10. Rare Cases of Liver Damage Tied to Weight-Loss Drug
11. Houston Weight-Loss Surgical Specialists Offer Gastric Sleeve Operation For $11K
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Weight-Loss Surgery May Ease Incontinence in Women
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... 2017 , ... Planet Fitness, one of the largest and fastest growing franchisors ... a flagship location in Covington, LA at 401 N. U.S. Highway 190, in January ... Office Depot in the Holiday Square shopping center. Its location allows it to serve ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at ... for the 49th Congress of the International Society of Paediatric Oncology (SIOP) ... Center for Cancer and Blood Disorders at Children’s National, and Stephen P. ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... property taxes a year. In some states—like New York, New Jersey, Massachusetts, Texas, ... many overseas retirement havens have extremely low property-tax rates, which contributes to the ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... -- Eli Lilly and Company (NYSE: LLY ) ... of 2017 on Tuesday, October 24, 2017. Lilly will ... the investment community and media to further detail the ... begin at 9 a.m. Eastern time. Investors, media and ... the conference call through a link that will be ...
(Date:10/2/2017)... announces the European launch of their new low volume, high throughput ... Cambridge, U.K on October 4th. The new ... unprecedented speed and sensitivity while using far less sample volume through ... ... ...
(Date:9/28/2017)... CHICAGO , Sept. 28, 2017 Hill-Rom ... quarter 2017 earnings conference call and webcast on Friday, ... 8:00 a.m. (EDT) and ending at approximately 8:30 a.m. ... to discussing the company,s 2017 financial performance and guidance ... growth opportunities, initiatives to enhance operational performance, and long-range ...
Breaking Medicine Technology: