BUDI (Bariatric UroDynamic Improvement)

University Hospital, Caen25 enrolled

Overview

In the population of obese women, the prevalence of urinary incontinence (UI) is around 70%. It was shown in the literature that weight loss by bariatric surgery allowed a significant improvement in the symptoms and impact on the quality of life of the IU. However, no prognostic factor for recovery has yet been identified and the pathophysiological mechanisms underpinning this improvement are not fully elucidated. The main objective of this study is to highlight the urodynamic changes associated with the improvement of the symptom and quality of life scores in a population of incontinent obese women before and after bariatric surgery.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Urinary Incontinence Obesity Urodynamics Quality of Life

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: The research protocol will be proposed to all patients requiring bariatric surgery (gastric bypass or sleeve gastrectomy) and describing urinary incontinence according to the definition of the International Continence Society (ICS) Exclusion Criteria: * minors under the age of 18 * pregnant or lactating women * women not speaking French (important to understand and respond to questionnaires) * women who have not given their written consent * neurological diseases, * patients who have benefited from urinary incontinence surgery, prolapse treatment or pelvic surgery at risk of urodynamic modifications (extensive resection of deep endometriosis, pelvic wound surgery, pelvic radiation therapy).

Outcomes

Primary Outcomes

Urodynamic changes after bariatric surgery in obese incontinent women

to highlight the changes in urodynamic vesical pressure (cmH2O) associated with the improvement of urinary incontinence after bariatric surgery

Time frame: 24 months

Urodynamic changes after bariatric surgery in obese incontinent women

to highlight the changes in urodynamic vesical sensations (cmH2O) associated with the improvement of urinary incontinence after bariatric surgery

Time frame: 24 months

Urodynamic changes after bariatric surgery in obese incontinent women

to highlight the changes in urodynamic bladder-to-urethra pressure transmission (%) with cough associated with the improvement of urinary incontinence after bariatric surgery

Time frame: 24 months

Urodynamic changes after bariatric surgery in obese incontinent women

to highlight the changes in urodynamic maximum urethral cloture pressure (cmH2O) associated with the improvement of urinary incontinence after bariatric surgery

Time frame: 24 months

Secondary Outcomes

Urinary incontinence symptom improvement after bariatric surgery

Changes in ICIQ-SF (International Consultation on Incontinence Questionnaire - Short Form) scores (assessing frequency and quantity of urinary loss, ranging from 0 to 21) after weight loss in incontinent obese women

Time frame: 24 months

Quality of life improvement after bariatric surgery

Measuring changes in Quality of life after weight loss with the Contilife questionnaire which specifically measures the impact of urinary incontinence on quality of life : activity of daily life

Time frame: 24 months

Quality of life improvement after bariatric surgery

Measuring changes in Quality of life after weight loss with the Contilife questionnaire which specifically measures the impact of urinary incontinence on quality of life : self-image and emotional impact and sexuality)

Time frame: 24 months

Quality of life improvement after bariatric surgery

Measuring changes in Quality of life after weight loss with the Contilife questionnaire which specifically measures the impact of urinary incontinence on quality of life : sexuality

Time frame: 24 months

BUDI (Bariatric UroDynamic Improvement)

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts