Obesity and Female Stress Urinary Incontinence

Frequency and Determinants of Urinary Incontinence in Adolescent and Young Nulliparous Women

“…Multiple studies have shown a clear relationship between weight loss from lifestyle modification and improved urinary incontinence, so we believe it could be the object of a prevention program among young women. 17 A positive relationship between urinary incontinence and constipation has been reported in literature 19 and our data are consistent with this finding. Chronic constipation may damage the anal sphincter's innervation and in general the pudendal nerve 20 .…”

Contemporary Comparison Between Retropubic Midurethral Sling and Autologous Pubovaginal Sling for Stress Urinary Incontinence After the FDA Advisory Notification

“…1 Among these women with UI, 50%-80% are identified as having stress urinary incontinence (SUI), 2 defined by the International Continence Society as "the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing." 3 Although evidence exists in the literature that demonstrates efficacy for nonsurgical treatment, 4 ultimately, an estimated 4%-10% of women in the United States undergo anti-incontinence surgery. 5 Providing long-term evidence from multiple case series and randomized controlled trials, the American Urological Association guideline from 2009 concluded that synthetic slings are an appropriate treatment choice for women with SUI, with similar efficacy but less morbidity than conventional nonmesh sling techniques, such as a pubovaginal sling (PVS).…”

Does Mid-Urethral Sling Surgery in the Treatment of Stress Urinary Incontinence Affect Weight Changes in Women? A Retrospective Cohort Study Using Internal Controls

“…Obesity is a known risk factor for SUI. 9 This is clearly documented by the younger age group at which obese women sought surgical care for their incontinence as compared to the nonobese patient. MUS operations have been shown to be comparably effective in obese women and nonobese women.…”