Elk Grove Chiropractor Dr. Doug Ferguson DC 95758, Rhino Chiropractic

Behavior Modification Just As Effective As Weight Loss Surgery In SUI Management, Study Finds

Weight loss has long been accepted as one of the most effective methods in managing stress urinary incontinence (SUI), medical experts say, citing results of various clinical studies. Being aware of this, women have made it their dreams to shed those unwanted pounds. This poses a big problem to some women in choosing the best method of reaching their goal – weight loss surgery or lifestyle changes?



Results of a very recent study which was presented during the 2013 annual scientific meeting of the Obesity Society indicate that both pathways are effective although a bigger improvement was noted with bariatric surgery. However, a medical specialist has stated, notwithstanding the difference in the degree of improvement, that if a patient is doing quite well with conservative methods, there is no need for a surgical intervention.



With the objective of determining the best weight loss strategy by comparing bariatric surgery with a medical program consisting of diet, exercise, and lifestyle modifications, Ms  Bobbi Paull-Fourney of the University Of Kansas School Of Medicine in Wichita, Kansas carried out a study using 2,611 participants. Majority of the subjects were asked to follow a low-calorie diet and an intensive behavior-modification program while 577 person underwent gastric bypass surgery.



A drop of 36.5 pounds after six months was experienced by the group who followed the medical treatment program while 49.7 pounds were reduced by those who had weight loss surgeries. Follow-up after one year showed that the mean weight of those who had bariatric surgery continued to drop by as much as 40 pounds while those in the medical program maintained the mean weight.



Weight loss surgery, without doubt, would come out as the more effective method in losing those excess pounds with its more than 35 percent overall decrease after one year. While lower in comparison, still, the weight loss of 20 percent experienced by those in the medical management group cannot be taken lightly. This is a substantial decrease which medical experts believe may translate to significant improvements in medical conditions including pelvic floor disorders.



Conservative methods must first be taken full advantage of before even considering weight loss surgery, experts insist, citing these favorable outcomes. As a matter of fact, this is one condition set by health authorities before one can be considered for this surgical option. Done properly, this loss of weight may make an overweight woman ineligible for surgery if she drops below the mandatory BMI of at least 30 kg/m2.



These findings are certainly encouraging to all women suffering from medical conditions including the very common SUI and pelvic organ prolapse (POP). Risks associated with surgical options to repair these conditions, particularly vaginal mesh surgeries which have caused serious injuries to thousands of women, may be eliminated to a great extent. These have led to the filing of vaginal mesh lawsuits against various mesh manufacturers. A number of these lawsuits have been brought to trial this year with more coming up, starting with the vaginal mesh lawsuit of Carolyn Jones set for January 10, 2014.






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