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International Urogynecology Journal

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01.09.2014 | Original Article

The improvement in pelvic floor symptoms with weight loss in obese women does not correlate with the changes in pelvic anatomy

verfasst von: Yavuz M. Gozukara, Gulcan Akalan, Ekrem C. Tok, Hakan Aytan, Devrim Ertunc

Erschienen in: International Urogynecology Journal | Ausgabe 9/2014

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Abstract

Introduction and hypothesis

It has been suggested that weight reduction decreases the frequency of urinary incontinence (UI) episodes. However, it is not known if this improvement is associated with anatomical changes in the pelvis. The aim of this study was to investigate the effects of weight loss on UI episodes and pelvic floor anatomy.

Methods

Three hundred seventy-eight overweight/obese women were randomly allocated either to behavioral weight loss or to structured education programs. The patients were evaluated by voiding diary, Pelvic Floor Distress Inventory (PFDI), and Pelvic Organ Prolapse Quantification (POP-Q) system at baseline and after 6 months.

Results

The women in the intervention group had a mean weight loss of 9.4 %, whereas the weight in the control group remained almost the same (P < 0.001). While there were no change in stress and urge incontinence episodes in the control group, the mean number of stress incontinence episodes per 3-day diary dropped from 7.96 episodes to 3.11, and the mean number of urge incontinence episodes per 3-day diary dropped from 2.85 episodes to 1.08 in the study group (P < 0.05). Regarding the POP-Q system, only genital hiatus, perineal body, and Ap measurements were significantly lower in the weight loss group than in the control group after 6 months.

Conclusions

Weight reduction provides improvement in episodes of UI, decreases the incidence of drops of urine leakage, and increases quality of life related to pelvic floor symptoms. However, there are little to no changes in the parameters of the POP-Q system with weight reduction.

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Titel: The improvement in pelvic floor symptoms with weight loss in obese women does not correlate with the changes in pelvic anatomy
verfasst von: Yavuz M. Gozukara
Gulcan Akalan
Ekrem C. Tok
Hakan Aytan
Devrim Ertunc
Publikationsdatum: 01.09.2014
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 9/2014
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2368-z

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The improvement in pelvic floor symptoms with weight loss in obese women does not correlate with the changes in pelvic anatomy

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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