{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:00:21Z","timestamp":1781013621940,"version":"3.54.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100004515","name":"Universiti Kebangsaan Malaysia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004515","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s11695-026-08682-6","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T06:10:04Z","timestamp":1776751804000},"page":"2701-2707","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metabolic Bariatric Surgery Improves Pelvic Floor and Voiding Function in Asian Women with Obesity: A Prospective Cohort Study"],"prefix":"10.1007","volume":"36","author":[{"given":"Kanmani","family":"Murugesu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo Hou","family":"Loo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li Yi","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nik Ritza","family":"Kosai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"8682_CR1","unstructured":"Institute for Public Health (IPH). National health and morbidity survey 2023: prevalence of obesity and other key health indicators in Malaysia. Ministry of Health Malaysia; 2023."},{"issue":"2","key":"8682_CR2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s40618-018-0892-2","volume":"42","author":"A Pucci","year":"2019","unstructured":"Pucci A, Batterham RL. Mechanisms underlying the weight loss effects of RYGB and SG: similar, yet different. J Endocrinol Invest. 2019;42(2):117\u201328.","journal-title":"J Endocrinol Invest"},{"issue":"1","key":"8682_CR3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11695-022-06332-1","volume":"33","author":"D Eisenberg","year":"2023","unstructured":"Eisenberg D, Shikora SA, Aarts E, Aminian A, Angrisani L, Cohen RV, et al. 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) indications for metabolic and bariatric surgery. Obes Surg. 2023;33(1):3\u201314.","journal-title":"Obes Surg"},{"issue":"4","key":"8682_CR4","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1002\/nau.23508","volume":"37","author":"RG Rogers","year":"2018","unstructured":"Rogers RG, Pauls RN, Thakar R, Morin M, Kuhn A, Whitmore K, et al. An international urogynecological association\/international continence society joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction. Neurourol Urodyn. 2018;37(4):1220\u201340.","journal-title":"Neurourol Urodyn"},{"issue":"3","key":"8682_CR5","first-page":"104","volume":"5","author":"D Karmakar","year":"2014","unstructured":"Karmakar D, Sharma JB. Current concepts in voiding dysfunction and dysfunctional voiding: a review from a urogynecologist\u2019s perspective. J Midlife Health. 2014;5(3):104\u201310.","journal-title":"J Midlife Health"},{"issue":"7","key":"8682_CR6","first-page":"1105","volume":"129","author":"SK Doumouchtsis","year":"2022","unstructured":"Doumouchtsis SK, Loganathan J, Pergialiotis V. The role of obesity on urinary incontinence and anal incontinence in women: a review. BJOG. 2022;129(7):1105\u201314.","journal-title":"BJOG"},{"issue":"2","key":"8682_CR7","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s00404-017-4415-8","volume":"296","author":"W Lian","year":"2017","unstructured":"Lian W, Zheng Y, Huang H, Chen L, Cao B. Effects of bariatric surgery on pelvic floor disorders in women with obesity: a meta-analysis. Arch Gynecol Obstet. 2017;296(2):181\u20139.","journal-title":"Arch Gynecol Obstet"},{"issue":"1","key":"8682_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ogc.2015.10.008","volume":"43","author":"JL Hallock","year":"2016","unstructured":"Hallock JL, Handa VL. The epidemiology of pelvic floor disorders and childbirth: an update. Obstet Gynecol Clin North Am. 2016;43(1):1\u201313.","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"5","key":"8682_CR9","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1056\/NEJMoa0806375","volume":"360","author":"LL Subak","year":"2009","unstructured":"Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight loss to treat urinary incontinence in women. N Engl J Med. 2009;360(5):481\u201390.","journal-title":"N Engl J Med"},{"key":"8682_CR10","doi-asserted-by":"publisher","first-page":"95","DOI":"10.2147\/TCRM.S125781","volume":"13","author":"N Bulbuller","year":"2017","unstructured":"Bulbuller N, Habibi M, Yuksel M, Ozener O, Oruc MT, Oner OZ, et al. Effects of bariatric surgery on urinary incontinence. Ther Clin Risk Manag. 2017;13:95\u2013100.","journal-title":"Ther Clin Risk Manag"},{"issue":"1","key":"8682_CR11","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/s41687-022-00459-6","volume":"6","author":"GT de Arruda","year":"2022","unstructured":"de Arruda GT, de Andrade DF, Virtuoso JF. Internal structure and classification of pelvic floor dysfunction distress by PFDI-20 total score. J Patient Rep Outcomes. 2022;6(1):51.","journal-title":"J Patient Rep Outcomes"},{"issue":"4","key":"8682_CR12","doi-asserted-by":"publisher","first-page":"e3971","DOI":"10.1016\/j.ajog.2016.10.010","volume":"216","author":"M Wiegersma","year":"2017","unstructured":"Wiegersma M, Panman CM, Berger MY, de Vet HC, Kollen BJ, Dekker JH. Minimal important change in the pelvic floor distress inventory-20 among women opting for conservative prolapse treatment. Am J Obstet Gynecol. 2017;216(4):e3971\u20137.","journal-title":"Am J Obstet Gynecol"},{"key":"8682_CR13","volume-title":"Practical Urology: Essential Principles and Practice","author":"R Christopher","year":"2011","unstructured":"Christopher R, William D. Practical urology: essential principles and practice. London: Springer; 2011."},{"issue":"3","key":"8682_CR14","first-page":"605","volume":"27","author":"A Leshem","year":"2017","unstructured":"Leshem A, Groutz A, Amir H. Effects of bariatric surgery on female pelvic floor disorders. Obes Surg. 2017;27(3):605\u201310.","journal-title":"Obes Surg"},{"issue":"9","key":"8682_CR15","first-page":"2537","volume":"33","author":"H Malaekah","year":"2022","unstructured":"Malaekah H, Basha M, Alsaywid B, Alhothali F, Abu-Zaid A. Obstetric risk factors for female pelvic floor dysfunction in Saudi women: a case-control study. Int Urogynecol J. 2022;33(9):2537\u201345.","journal-title":"Int Urogynecol J"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08682-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08682-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08682-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:09:12Z","timestamp":1781010552000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-026-08682-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["8682"],"URL":"https:\/\/doi.org\/10.1007\/s11695-026-08682-6","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"assertion":[{"value":"18 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 April 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the institutional research ethics committee (JEP-2023-106) approval number blinded for review). Written informed consent was obtained from all participants prior to enrollment. The study wasconducted in accordance with the principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and informed consent"}},{"value":"Not applicable. This study does not contain individual patient data in any identifiable form.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}