Abstract
AIM: Many patients presenting with urogynecological disorders or sexual disturbance are also overweight. These factors typically diminish the patients' quality of life and undermine their sense of self-worth. METHODS: The study was conducted as a prospective follow-up investigation and included 125 women whose uro- and proctogynecological symptoms, sexual functioning, and quality of life were evaluated before and 12 months after weight reduction. RESULTS: Following nutritional therapy, the body mass index (BMI) decreased from 31.6 to 29.1. At follow-up after 12 months, 31 women (24.8 %) had maintained the weight loss achieved by nutritional therapy, 86 (68.8 %) showed further weight loss, and 8 (6.4 %) had gained weight again. Ninety (72.0 %) patients with disturbed sexual functioning reported a significant improvement after therapy (improvement of the score by 0.5 points, p = 0.012). Quality of life rated on a scale ranging from 1 - 10 achieved a mean score of 4.34 before therapy and increased significantly by 3.69 points to 8.08 after therapy (p = 0.042). Pre-existing symptoms were improved by nutritional therapy in 100 (80.0 %) patients (p = 0.035). CONCLUSION: The results of the prospective study presented here demonstrate that weight loss significantly improves symptoms and the patient's quality of life.
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