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 5 publications

(3 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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“…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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The association between weight-adjusted-waist index and stress urinary incontinence in female adults: a population-based study

Sun,

He,

Luo

et al. 2024

Int Urol Nephrol

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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 5 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

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

The association between weight-adjusted-waist index and stress urinary incontinence in female adults: a population-based study

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