BERKELEY, CA (UroToday.com) - The study pointed out the association between increased body mass index (BMI) and the presence of overactive bladder (OAB) symptoms in women. Clearly this association has been well described and documented by multiple observational studies utilizing patients’ reported responses. Nevertheless, it is the first study of its kind to attempt to examine this association using an objective tool employing urodynamic testing.
Our urodynamic assessment did not show a significant correlation between OAB and any BMI category for most parameters examined. This is interesting, but firm conclusions cannot, as yet, be drawn since the study was underpowered. The importance of this study parallels the increasing body of literature reporting a drop in the prevalence of urinary symptoms in morbidly obese women following bariatric surgery.[1-3] The reported symptoms include stress urinary incontinence, and to a lesser extent, dry and wet OAB symptoms.
Again, the findings from these studies warrant additional investigation with a larger cohort using urodynamic assessment.
- Kuruba R, Almahmeed T, Martinez F, Torrella TA, Haines K, Nelson LG, Gallagher SF, Murr MM. Bariatric surgery improves urinary incontinence in morbidly obese individuals. Surg Obes Relat Dis. 2007 Nov-Dec;3(6):586-90; discussion 590-1.
- Vella VL, Jaffe W, Lidicker J, Meilahn J, Dandolu V. Prevalence of urinary symptoms in morbidly obese women and changes after bariatric surgery. J Reprod Med. 2009 Oct;54(10):597-602.
- Weranja K.B. Ranasinghe, Timothy Wright, John Attia, Patrick McElduff, Terrence Doyle, Meegan Bartholomew, Katrina Hurley, Rajendra A. Persad. Effects of bariatric surgery on urinary and sexual function. BJU International, 2011; 107 (1): 88-94.
Tariq F. Al-Shaiji, MB ChB, FRCSC as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc... of their research by referencing the published abstract.
Department of Urology
Toronto Western Hospital
University Health Network
South Elevator - Fell Pavilion 8-306
399 Bathurst St.
Toronto, ON, M5T 2S8, Canada