You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence Therapy I1 Apr 2014MP33-05 URINARY INCONTINENCE AMONG SEVERELY OBESE WOMEN AND MEN BEFORE AND AFTER BARIATRIC SURGERY Leslee Subak, Wendy King, Jia-Yuh Chen, Steven Belle, Anita Courcoulas, Faith Ebel, David Flum, Saurabh Khandelwal, John Pender, Sheila Pierson, Walter Pories, Kristine Steffen, Gladys Strain, Brusce Wolfe, and Alison Huang Leslee SubakLeslee Subak More articles by this author , Wendy KingWendy King More articles by this author , Jia-Yuh ChenJia-Yuh Chen More articles by this author , Steven BelleSteven Belle More articles by this author , Anita CourcoulasAnita Courcoulas More articles by this author , Faith EbelFaith Ebel More articles by this author , David FlumDavid Flum More articles by this author , Saurabh KhandelwalSaurabh Khandelwal More articles by this author , John PenderJohn Pender More articles by this author , Sheila PiersonSheila Pierson More articles by this author , Walter PoriesWalter Pories More articles by this author , Kristine SteffenKristine Steffen More articles by this author , Gladys StrainGladys Strain More articles by this author , Brusce WolfeBrusce Wolfe More articles by this author , and Alison HuangAlison Huang More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.956AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To determine change in urinary incontinence (UI) among obese women and men following bariatric surgery. METHODS Of 2458 participants in the Longitudinal Assessment of Bariatric Surgery-2, 1565 women and 422 men with severe obesity completed a UI questionnaire prior to bariatric surgery and at ≥1 annual follow-up (FU) assessment over 3 years (yrs). Prevalent UI was defined as self-report of ≥ weekly UI episodes. The percentages of subjects with UI remission (UI at baseline [BL], <weekly or no UI episodes at FU), complete remission (UI at BL, no UI episodes at FU), or incident UI (no UI at BL, UI at FU) were calculated. Among those with UI at BL, weekly frequency of UI episodes was evaluated. Generalized linear mixed models were used to estimate and test changes over time, with adjustment for multiple comparisons. RESULTS At BL, median (25th,75th %-iles) age (yrs) was 46 (37-54) in women and 50 (40-58) in men. UI was more prevalent (p<.0001) in women (50%) than men (19%). The prevalence of UI was smaller at each FU visit vs. BL (Table 1) for both women (total, stress, urgency) and men (total, urgency). Year 1 UI remission was high (70% women, 71% men), with a smaller percentage of women having UI remission at yrs 2 and 3 vs. year 1. Statistical power was low to detect small changes among men. Among those with UI at BL, the frequency of UI episodes of any type decreased after surgery, with some increase among women after year 1 (Table 2). CONCLUSIONS There was substantial improvement in UI among both women and men in the 3 yrs following bariatric surgery. Improvement in UI may be another benefit of bariatric surgery. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e339-e340 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Leslee Subak More articles by this author Wendy King More articles by this author Jia-Yuh Chen More articles by this author Steven Belle More articles by this author Anita Courcoulas More articles by this author Faith Ebel More articles by this author David Flum More articles by this author Saurabh Khandelwal More articles by this author John Pender More articles by this author Sheila Pierson More articles by this author Walter Pories More articles by this author Kristine Steffen More articles by this author Gladys Strain More articles by this author Brusce Wolfe More articles by this author Alison Huang More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...