The Link Between Female Obesity and Urinary Stress Incontinence

Soliman, Mohamed; El-Tatawy, Hassan; Taha, Mohammed

doi:10.3834/uij.1944-5784.2011.10.05

Cited by 2 publications

(4 citation statements)

References 31 publications

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“…Furthermore, obesity may increase pressure on the bladder, thereby affecting the neuromuscular function of the genital tract and contributing to pelvic floor and urethral dysfunction. [19][20][21] In another study, Hvidman et al 14 demonstrated that pregnant women with prepregnancy BMI of more than 30kg/m2 were associated with a high rate of SUI. Liang et al 3 have shown women with a prepregnancy BMI of more than 30 kg/m2 to be at increased risk for developing SUI during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study

Caruso

Schreiner

Todescatto

et al. 2020

Rev Bras Ginecol Obstet

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Objective Urinay incontinence (UI) is a major public health problem that can harm women in any period of life, including during the gestational period. Urinary incontinence during pregnancy has been studied because this condition can reduce the quality of life and interfere in several aspects of the maternal-fetal binomial. The aim of this study was to determine the prevalence of UI in nullipara pregnant women and to identify risk factors associated with UI in this population. Methods This is a case-control study in which we invited nullipara women between 12 and 20 weeks of pregnancy to participate in the research. They were asked to answer a specific questionnaire, write a 3-day bladder diary, and undergo a urogynecological evaluation including pelvic organ prolapse quantification (POP-Q), empty stress supine test (ESST), and pelvic floor muscle assessment. Results A total of 70 out of 73 patients accepted to participate in the study, and the prevalence of UI in this population was 18.3%. Tobacco use was identified as an independent risk factor for UI in pregnant women (odds ratio 8.0). All other factors analyzed were not significantly associated to UI in pregnancy. Conclusion Urinary incontinence can be a major problem in pregnancy. We identified the use of tobacco as a risk factor for developing UI in pregnancy, which provides an extra reason to encourage patients to quit smoking.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study

Caruso

Schreiner

Todescatto

et al. 2020

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

“…Anatomical changes in patients with obesity assessed by ultrasonography showed that bladder neck descent was more evident in women with obesity than in women with normal weight. 42 A high BMI increases intra-abdominal pressure, resulting in an imbalance between vesical pressure and urethral closure, triggering urine leakage. 15,43 The first study to report the prevalence of UI in women with GDM was conducted by Kim et al 44 They recruited 228 women with GDM; 49% reported weekly or more episodes of incontinence during pregnancy and 50% after delivery.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence

Vesentini

Pículo

Marini

et al. 2023

Rev Bras Ginecol Obstet

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Objective The lack of data on the impact of hyperglycemia and obesity on the prevalence of pregnancy-specific urinary incontinence (PSUI) led us to conduct a cross-sectional study on the prevalence and characteristics of PSUI using validated questionnaires and clinical data. Methods This cross-sectional study included 539 women with a gestational age of 34 weeks who visited a tertiary university hospital between 2015 and 2018. The main outcome measures were the prevalence of PSUI, the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Incontinence Severity Index (ISI) questionnaires. The women were classified into four groups: normoglycemic lean, normoglycemic obese, hyperglycemic lean, and hyperglycemic obese. The differences between groups were tested using descriptive statistics. Associations were estimated using logistic regression analysis and presented as unadjusted and adjusted odds ratios. Results Prevalence rates of PSUI were no different between groups. However, significant difference in hyperglycemic groups worse scores for severe and very severe PSUI. When adjusted data for confound factors was compared with normoglycemic lean group, the hyperglycemic obese group had significantly higher odds for severe and very severe forms of UI using ICIQ-SF (aOR 3.157; 95% CI 1.308 to 7.263) and ISI (aOR 20.324; 95% CI 2.265 to 182.329) questionnaires and highest perceived impact of PSUI (aOR 4.449; 95% CI 1.591 to 12.442). Conclusion Our data indicate that obesity and hyperglycemia during pregnancy significantly increase the odds of severe forms and perceived impact of PSUI. Therefore, further effective preventive and curative treatments are greatly needed.

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The Link Between Female Obesity and Urinary Stress Incontinence

Cited by 2 publications

References 31 publications

Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study

Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study

Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence

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