Factors associated with incontinence frequency in a surgical cohort of stress incontinent women

Richter, Holly E.; Burgio, Kathryn L.; Brubaker, Linda; Moalli, Pamela; Markland, Alayne D.; Mallet, Veronica T.; Menefee, Shawn A.; Johnson, Harry G.; Boreham, Muriel K.; Dandreo, Kimberly J.; Stoddard, Anne M.

doi:10.1016/j.ajog.2005.07.068

Cited by 84 publications

(50 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2 Strong associations between obesity and both urinary and fecal incontinence have been reported. 15,16 According to the Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults, from the National Institutes of Health, (National Heart, Lung and Blood Institute), about 97 million adults are overweight or obese in the United States. The definition of overweight applies to an individual with BMI ranging from 25 to 29.9 (kg/m 2 ), and obese is an inThere were no significant differences regarding frequency, nocturia or urgency.…”

Section: Resultsmentioning

confidence: 99%

Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Palma¹,

Raimondi²,

Souto³

et al. 2014

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

Correlation between body mass index and overaCtive bladder symptoms in pre-menopausal women rev assoC med bras 2014; 60 (2) Conflict of interest: noneObjective: The aim of the study was to establish a correlation between Overactive Bladder (OAB) symptoms and Body Mass Index (BMI) in women aged 20-45. Methods: We interviewed 1.050 women aged 20-45 in the area of Campinas, Brazil, to investigate the prevalence of overactive bladder symptoms. In this study, we used the ICIQ-OAB questionnaire (ICS standard), in its validated portuguese version and a specific questionnaire for the demographics, which includes information about BMI. Results: Overall, women with BMI ≥30 presented a significantly higher score than women with a lower BMI (18.5 -24.9) (p=0.0066). In the analysis of individual symptoms, no significant differences were found regarding urinary frequency (p=0.5469). Women with BMI ≥30 presented more nocturia than women with BMI ranging between 18.5 and 24.9 (p=0.0154). Women in the group of BMI 25 -29.9 presented more urgency than women with BMI 18.5 -24.9 (p=0.0278). Significant difference was also found regarding urge-incontinence; women with BMI 25 -29.9 presented a higher score than women in the group 18.5 -24.9 (p= 0.0017). Analysis was also performed on the visual analogue scale regarding how much each symptom bothers the women (quality of life). There were no significant differences regarding frequency, nocturia or urgency but urgency incontinence bother was significant. Women with BMI 25 -29.9 were more bothered by incontinence than women with BMI 18.5 -24.9 (p=0.002). Conclusion:In conclusion, this study reinforces the correlation between BMI and OAB symptoms. Obese women present more OAB symptoms than non-obese women.

show abstract

Section: Resultsmentioning

confidence: 99%

Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Palma¹,

Raimondi²,

Souto³

et al. 2014

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…The propensity of obese women for urine loss is probably multifactorial, as is the response of SUI to weight loss (3,8). Obesity may stress the pelvic floor and cause nerve stretching, leading to SUI.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity is a major health problem worldwide and is also linked to stress urinary incontinence (SUI) (3). Recently, investigators demonstrated that weight reduction alone may reduce more than 50% of the urinary incontinence episodes a week (4).…”

mentioning

confidence: 99%

Obesity and smoking: Are they modulators of cough intravesical peak pressure in stress urinary incontinence?

Fuganti¹,

Gowdy²,

Santiago³

2011

Int. braz j urol.

View full text Add to dashboard Cite

Purpose: SUI (Stress Urinary Incontinence) results from sudden increases in intravesical peak pressures exceeding urethral resistance leading to involuntary urine loss. Obesity and smoking are well established reversible risk factors for SUI and may alter intravesical peak pressures. BMI, smoking status, and other clinical factors were studied to determine their relationship to CIPP (maximal Intravesical Peak Pressures generated by Cough) in SUI complaining women. Materials and Methods: Three hundred nineteen women complaining of SUI were evaluated with medical history and urodynamics. Age, parity, comorbidities, previous surgery, BMI and history of smoking were obtained. The maximal intravesical peak pressures generated by cough (CIPP) and cough leak point pressure (CLPP) were acquired. Univariate and multivariate analysis were conducted. Results: Current smokers and former smokers had similar CIPP (170cmH2O and 170cmH2O; p = 0.5, respectively); Those individuals who had never smoked had significantly lower CIPP (140cmH2O; p = 0.000 and p = 0.009 respectively). BMI was directly related to CIPP (r = 0.41; p = 0.000). Vaginal deliveries (r = -0.15, p = 0.08) and diabetes (r = 0.15, p = 0.016) were also directly related to CIPP on univariate analysis. Only smoking status (p = 0.000) and BMI (p = 0.000) were independently significantly related to CIPP on multivariate analysis. Conclusions: Obesity and smoking showed increased CIPP (maximal Intravesical Peak Pressures generated by Cough). While reduced BMI is related to lower CIPP, smoking cessation does not appear to diminish CIPP. These findings suggest that weight loss may reduce incontinence by CIPP modulation. However, the benefits of smoking cessation without additional lifestyle modification, may have no benefit to improve urinary incontinence.

show abstract

“…Pilvo perimetro padidėjimas yra rizikos veiksnys atsirasti šlapimo nelaikymui fizinio krūvio metu. Daug darbų rašo apie tiesioginę priklausomybę tarp nutukimo laipsnio ir moterų šlapimo nelaikymo [8,9,10,11,12]. 1996 m. U. Ulmstenas aprašė naują minimaliai invazinį operacinį gydymo būdą -pošlaplinį pakėlimą proleno raiščiais per makš tį, sutrumpintai vadinamą TVT ("Tension-free Vaginal tape").…”

Section: įVadasunclassified

Nutukusių moterų šlapimo nelaikymo gydymas atliekant TVT operaciją Vilniaus universiteto ligoninės Santariškių klinikų urologijos centre

Černiauskienė

Barisiene

Matulevičius

et al. 2015

Medicinos Teorija Ir Praktika

View full text Add to dashboard Cite

saNtraukaReikšminiai žodžiai: įtampos tipo šlapimo nelaikymas, nutukimas, pošlapliniai raiščiai. Tikslas. Nustatyti, kokios dažniausios įtampos tipo šlapimo nelaikymą sukeliančios priežastys moterims, kokios dažniausios pooperacinės komplikacijos, išsiaiškinti, ar nutukimas ir antsvoris lemia ligonių, operuotų dėl šlapimo nelaikymo fizinio krūvio metu implantuojant pošlaplinius raiščius užgaktiniu būdu, komplikacijų dažnumą. Nustatyti, kiek pacienčių po operacijos sulaiko šlapimą, bei gautus rezultatus palyginti su literatūroje pateiktais duomenimis. Po operacijos komplikacijos išsivystė 14 (16,9 proc.) pacienčių, iš kurių dažniausia 11 (78,57 proc.) pacienčių buvo šlapimo susilaikymas. Su normalia kūno mase komplikacijos pasireiškė 1 (10 proc.) pacientei iš 10, su antsvoriu 8 (40 proc.) pacientėms iš 20 ir su nutukimu (I-III laipsnio) 5 (9,43 proc.) pacientėms iš 53, kai p < 0,007 (taikant Chi-square testą). Palyginus normalaus svorio grupę su nutukusių ligonių grupe, komplikacijų skaičius statistiškai reikšmingai nesiskyrė (10 proc. prieš 9,43 proc.), kai p = 0,956. Sugretinus antsvorio turinčių pacienčių grupę su grupe, kur pacientės yra nutukusios, -gautas statistiškai reikšmingas komplikacijų skirtumas -40 proc. prieš 9,43 proc., kai p < 0,002. Iš 61 į anketą atsakiusiųjų po operacijos šlapimą sulaiko 58 (95,08 proc.) pacientės, kurios taip pat šią operaciją rekomenduotų kitoms ligonėms. Visiškai operacijos rezultatais patenkintos 49 (80,33 proc.) pacientės, iš dalies patenkintos 10 (16,40 proc.) pacienčių ir nepatenkintos 2 (3,27 proc.) pacientės. Išvados. Dažniausia įtampos šlapimo nelaikymą sukėlusi priežastis moterims -tarpvietės plyšimas. Dažniausia TVT pooperacinė komplikacija yra šlapimo susilaikymas. Nutukimas nėra predisponuojantis veiksnys komplikacijoms atsirasti atliekant TVT operaciją. TVT operacija yra saugus, efektyvus ir tinkamas šlapimo nelaikymo gydymo būdas nutukusioms pacientėms. Mūsų tyrimo rezultatai atitinka literatūroje pateiktus duomenis. Aušra Černiauskienė Vilniaus universiteto Urologijos centras Santariškių g. 2, Vilnius

show abstract

Factors associated with incontinence frequency in a surgical cohort of stress incontinent women

Cited by 84 publications

References 24 publications

Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Correlation between body mass index and overactive bladder symptoms in pre-menopausal women

Obesity and smoking: Are they modulators of cough intravesical peak pressure in stress urinary incontinence?

Nutukusių moterų šlapimo nelaikymo gydymas atliekant TVT operaciją Vilniaus universiteto ligoninės Santariškių klinikų urologijos centre

Contact Info

Product

Resources

About