Jae Heon Kim1, Hwa Yeon Sun2, Soo Yeon Park2, Min Ju Soh3, Yong Jin Kim4, Yun Seob Song5. 1. Department of Urology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea. 2. Department of Biostatistics, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea. 3. Department of Surgery, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea. 4. Department of Surgery, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea. Electronic address: yjgs1997@gmail.com. 5. Department of Urology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea. Electronic address: yssong@schmc.ac.kr.
Abstract
BACKGROUND: To date, the association between obesity and lower urinary tract symptoms (LUTS) is controversial. OBJECTIVE: To overcome the current inconsistent results regarding the association between obesity and LUTS and to investigate the association between obesity and LUTS using propensity score matching analysis. SETTING: Bariatric center of excellence and health promotion center at university hospital. METHODS: From August 2012 to December 2014, a total of 260 obese patients (77 men and 180 women) visited to our bariatric center to undergo bariatric surgery. Patients' International Prostate Symptom Score (IPSS) and overactive bladder symptom score were compared with those of 844 healthy controls who had visited our health center during the same period. To control for the effects of age, 1:1 propensity score matching was used. RESULTS: After matching propensity score forage, 73 male patients and 176 female patients were included in our study. In men, all IPSS items except "frequency" were significantly different between obese patients and controls; median scores were higher in the obese group. In women, all IPSS items except "feeling of incomplete emptying" were significantly different between the 2 groups. Both voiding and storage subscores also had marked differences in both genders (P<.001). Total IPSS, quality of life, and total overactive bladder symptom score were significantly different in both genders (P< .001). CONCLUSION: There were marked differences in LUTS between obese and nonobese patients, including in voiding and storage symptoms. Considering the relatively young age of both groups, this case-control study supports the hypothesis of a relationship between obesity and bladder pathophysiology. Copyright Â
BACKGROUND: To date, the association between obesity and lower urinary tract symptoms (LUTS) is controversial. OBJECTIVE: To overcome the current inconsistent results regarding the association between obesity and LUTS and to investigate the association between obesity and LUTS using propensity score matching analysis. SETTING: Bariatric center of excellence and health promotion center at university hospital. METHODS: From August 2012 to December 2014, a total of 260 obesepatients (77 men and 180 women) visited to our bariatric center to undergo bariatric surgery. Patients' International Prostate Symptom Score (IPSS) and overactive bladder symptom score were compared with those of 844 healthy controls who had visited our health center during the same period. To control for the effects of age, 1:1 propensity score matching was used. RESULTS: After matching propensity score forage, 73 male patients and 176 female patients were included in our study. In men, all IPSS items except "frequency" were significantly different between obesepatients and controls; median scores were higher in the obese group. In women, all IPSS items except "feeling of incomplete emptying" were significantly different between the 2 groups. Both voiding and storage subscores also had marked differences in both genders (P<.001). Total IPSS, quality of life, and total overactive bladder symptom score were significantly different in both genders (P< .001). CONCLUSION: There were marked differences in LUTS between obese and nonobese patients, including in voiding and storage symptoms. Considering the relatively young age of both groups, this case-control study supports the hypothesis of a relationship between obesity and bladder pathophysiology. Copyright Â
Authors: Maryse Larouche; Arianne Y K Albert; Nancy Lipsky; Sharon Walmsley; Mona Loutfy; Fiona Smaill; Sylvie Trottier; Ari Bitnun; Mark H Yudin; Geoffrey W Cundiff; Deborah M Money Journal: Int Urogynecol J Date: 2020-05-22 Impact factor: 2.894
Authors: Kyle A Wegner; Lisa L Abler; Steven R Oakes; Guneet S Mehta; K Elaine Ritter; Warren G Hill; Bernadette M Zwaans; Laura E Lamb; Zunyi Wang; Dale E Bjorling; William A Ricke; Jill Macoska; Paul C Marker; E Michelle Southard-Smith; Kevin W Eliceiri; Chad M Vezina Journal: Am J Physiol Renal Physiol Date: 2018-07-04