Objective: To evaluate effects of bariatric surgery on pelvic floor mediated quality of life in morbidly obese women. Study Design: Prospective cohort study of 44 women undergoing bariatric surgery. Results: Thirty-six women gave data at baseline and at mean follow-up of 3.15 years following bariatric surgery. Although urinary impact questionnaire scores improved (-34.92, P =.0020), colorectal-anal impact questionnaire and pelvic organ prolapse impact questionnaire scores did not improve despite significant weight loss. Baseline female sexual function index scores were low (17.70 ± 8.38) and did not improve with weight loss (16.91 ± 9.75, P =.5832). Pelvic organ prolapse/urinary incontinence sexual questionnaire scores did improve (35.78 ± 6.06 preoperatively vs 38.22 ± 6.03 postoperatively, P =.0193). Conclusion: Bariatric surgery is associated with significant improvement in the impact of urinary incontinence on quality of life. Sexual function was poor, and improved only on the pelvic organ prolapse/urinary incontinence sexual questionnaire that evaluated urinary incontinence.

Original languageEnglish
Pages (from-to)431.e1-431.e4
JournalAmerican Journal of Obstetrics and Gynecology
Issue number5
StatePublished - Nov 2012


  • bariatric surgery
  • long-term follow-up
  • validated questionnaires


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