Progress in studies on pathological changes and future treatment strategies of obesity-associated female stress urinary incontinence: a narrative review

Pan, Jiancheng; Liang, Enli; Cai, Qiliang; Zhang, Dingrong; Wang, Jiang; Feng, Yuhong; Yang, Xiaolei; Yang, Yongjiao; Tian, Wenjie; Quan, Changyi; Han, Rong; Niu, Yuanjie; Chen, Yegang; Xin, Zhongcheng

doi:10.21037/tau-20-1217

Cited by 6 publications

(4 citation statements)

References 68 publications

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“…Increasing evidence shows that increased BMI is associated with a higher risk of SUI. 26 For obese women, the risk of urinary leakage increases between 3% and 7% for every 1-kg/m 2 increase in BMI. 27 Therefore, weight control helps to avoid SUI.…”

Section: Discussionmentioning

confidence: 99%

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Nomogram Analysis Based on Clinical and Sonographic Characteristics for the Assessment of Postpartum Stress Urinary Incontinence

Xiao

Cao

Zhen

et al. 2023

J of Ultrasound Medicine

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ObjectivesWe aimed to develop and validate a nomogram integrating clinical and sonographic characteristics for the individualized SUI risk evaluation in the early postpartum stage.MethodsThis was a prospective cross‐sectional study. From June 2020 to September 2022, singleton primiparas who underwent TPUS examination at 6–8 weeks postpartum were recruited. They were divided into the training and validation cohorts at a ratio of 8:2 according to the temporal split. All subjects were interviewed before TPUS examination. Univariate and multivariate logistic analyses were performed to develop three models: the clinical, sonographic, and combined models. The ROC curve was plotted to evaluate model discrimination ability. Finally, the combined model was selected to establish the nomogram. The nomogram's discrimination, calibration, and clinical usefulness were evaluated in the training and validation cohorts.ResultsThe performance of the combined model was better than that of the clinical and sonographic models. Six predictors (BMI, delivery mode, lateral episiotomy, SUI during pregnancy, cystocele, and bladder neck funneling) remained in the combined model. The nomogram based on the combined model had good discrimination with AUCs of 0.848 (95% CI: 0.796–0.900) and 0.872 (95% CI: 0.789–0.955) in the training and validation cohorts, respectively, and the calibration curve showed good efficiency in assessing postpartum SUI. Decision curve analysis showed that the nomogram was clinically useful.ConclusionsThe nomogram based on clinical and sonographic characteristics showed good efficiency in assessing postpartum SUI risk and can be a convenient and reliable tool for individual SUI risk assessment.

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Section: Discussionmentioning

confidence: 99%

“…BMI and lateral episiotomy were also included in the nomogram. Increasing evidence shows that increased BMI is associated with a higher risk of SUI 26 . For obese women, the risk of urinary leakage increases between 3% and 7% for every 1‐kg/m 2 increase in BMI 27 .…”

Section: Discussionmentioning

confidence: 99%

Nomogram Analysis Based on Clinical and Sonographic Characteristics for the Assessment of Postpartum Stress Urinary Incontinence

Xiao

Cao

Zhen

et al. 2023

J of Ultrasound Medicine

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“…In addition to what has been already mentioned with regards to apoptosis, the changes in intracellular Ca 2+ levels and other ion dynamics, as well as the effects of adenosine receptors, membrane channels, NO and ROS levels after PEMF treatment, have also been connected to cell differentiation [4,12,19,24,90,93,100,102]. Several reviews have focused on the connection of these effects, linking what is believed to be the initiating effects mentioned above and their relation to cell differentiation [10,24,35,98,103]. Others have published collections of resources that provide significant information on PEMF studies where cell differentiation has been included as a result parameter [4,19,20,33,35,43,93,100,102,104].…”

Section: Differentiationmentioning

confidence: 97%

Pulsed Electromagnetic Fields (PEMF)—Physiological Response and Its Potential in Trauma Treatment

Flatscher,

Pavez Loriè,

Mittermayr

et al. 2023

IJMS

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Environmental biophysical interactions are recognized to play an essential part in the human biological processes associated with trauma recovery. Many studies over several decades have furthered our understanding of the effects that Pulsed Electromagnetic Fields (PEMF) have on the human body, as well as on cellular and biophysical systems. These investigations have been driven by the observed positive clinical effects of this non-invasive treatment on patients, mainly in orthopedics. Unfortunately, the diversity of the various study setups, with regard to physical parameters, molecular and cellular response, and clinical outcomes, has made it difficult to interpret and evaluate commonalities, which could, in turn, lead to finding an underlying mechanistic understanding of this treatment modality. In this review, we give a birds-eye view of the vast landscape of studies that have been published on PEMF, presenting the reader with a scaffolded summary of relevant literature starting from categorical literature reviews down to individual studies for future research studies and clinical use. We also highlight discrepancies within the many diverse study setups to find common reporting parameters that can lead to a better universal understanding of PEMF effects.

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“…Les autres principaux facteurs de risque d'IU identifiés sont : l'âge, l'obésité [augmentation de l'IMC], la grossesse, ainsi que l'activité sportive. D'autres éléments mis en évidence sont l'énurésie et la dépression nocturnes infantiles, l'anxiété et une moindre maîtrise de soi chez des jeunes femmes nullipares, mais il n'est pas clair s'il s'agit d'une conséquence ou d'une étiologie de l'IU [26][27][28][29][30][31] . Plusieurs auteurs ont rapporté l'association de l'incontinence urinaire avec la violence sexuelle dans la région Est de la République démocratique du Congo.…”

Section: Prévalence Globale Et Type D'incontinenceunclassified

Urinary incontinence determinants and risk factors in adolescents and young women in democratic republic of Congo

Nako Iyongo,

Punga Maole Mongalembe,

Nkodila Natuhoyila

et al. 2022

Rev Med Brux

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Progress in studies on pathological changes and future treatment strategies of obesity-associated female stress urinary incontinence: a narrative review

Cited by 6 publications

References 68 publications

Nomogram Analysis Based on Clinical and Sonographic Characteristics for the Assessment of Postpartum Stress Urinary Incontinence

Nomogram Analysis Based on Clinical and Sonographic Characteristics for the Assessment of Postpartum Stress Urinary Incontinence

Pulsed Electromagnetic Fields (PEMF)—Physiological Response and Its Potential in Trauma Treatment

Urinary incontinence determinants and risk factors in adolescents and young women in democratic republic of Congo

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