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Monsplasty improves urinary distress in patients following major weight loss surgery

Abdominal contouring with monsplasty improved urinary distress in patients who had undergone major weight loss surgery, according to study results published in Aesthetic Surgery Journal.

Researchers from the department of plastic surgery, University of Pittsburgh, conducted a prospective study between May 2013 and May 2014. Twenty patients who were scheduled to undergo abdominal contouring with monsplasty were enrolled in a study group. A control group of 20 additional patients was included in the study.

Mean patient age was 47 years in the study group and 41 years in the control group. Relationship status, hormonal status and mean BMI were similar between the two groups.

Both groups completed the Urogenital Distress Inventory Short Form (UDI-6) and Female Sexual Function Index (FSFI) questionnaires preoperatively and at 3 months follow-up.

The study group had a statistically significant improvement as reported on the UDI-6 questionnaire with a median change of 0.01 (IQR, 7.65 to 5.55). The study group had a median improvement of 0.2 (IQR, 1.2 to 1.58) as reported on the FSFI, though this was not statistically significant.

BMI following major weight loss surgery, change in BMI and pannus weight were not significantly correlated with the changed outcomes of the two questionnaires, nor did weight loss method have an impact on the measured outcomes.

“Urinary dysfunction, as measured by the UDI-6, improved 3 months following abdominal contouring procedures including monsplasty,” the researchers wrote. “The postoperative period of 3 months may not be long enough to see a significant change in female sexual function, as measured by the FSFI. Monsplasty in conjunction with abdominal contouring is recommended in the [major weight loss] female patient.” – by Talitha Bennett

Disclosure: The researchers report no relevant financial disclosures.