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Urinary incontinence (UI) is estimated to affect >50% of U.S. women older than 65, yet only two thirds seek care for the condition.1 The main subtypes of UI are stress (SUI; urine leakage with increases in intrabdominal pressure), urge (UUI; urine leakage with involuntary detrusor contraction), mixed stress and urge (MUI), and overflow incontinence. Overactive bladder refers to urinary urgency with or without UUI.
Many women opt for a preliminary trial of low-risk lifestyle modifications. Multiple studies have shown that weight loss as an initial recommendation can improve symptoms of UI, particularly SUI. More-recent studies have provided evidence that, in obese women, bariatric surgery confers a significant reduc…