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Obesity and Pelvic Floor Disorders: A Review of the Literature

Overweight and obesity are becoming a worldwide health problem associated with numerous co-morbidities. National costs of obesity and pelvic flor disorders have been rising since the 1950s across the world. Obesity is thought to have a very strong effect on pelvic floor disorders, and, considering t...

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Autores principales: Pomian, Andrzej, Lisik, Wojciech, Kosieradzki, Maciej, Barcz, Ewa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907402/
https://www.ncbi.nlm.nih.gov/pubmed/27255341
http://dx.doi.org/10.12659/MSM.896331
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author Pomian, Andrzej
Lisik, Wojciech
Kosieradzki, Maciej
Barcz, Ewa
author_facet Pomian, Andrzej
Lisik, Wojciech
Kosieradzki, Maciej
Barcz, Ewa
author_sort Pomian, Andrzej
collection PubMed
description Overweight and obesity are becoming a worldwide health problem associated with numerous co-morbidities. National costs of obesity and pelvic flor disorders have been rising since the 1950s across the world. Obesity is thought to have a very strong effect on pelvic floor disorders, and, considering the high prevalence of both problems worldwide, it is of utmost importance to evaluate the association between these pathologies as well as the impact of obesity on treatment efficacy. This review is based on a selection of reports in the literature (PubMed search), including guidelines and Cochrane reviews. Obesity seems to be a well-documented risk factor for lower urinary tract symptoms (LUTS) and is a predictor of exacerbation of stress urinary incontinence (SUI) and overactive bladder (OAB). Weight loss is also associated with improvement or resolution of SUI and OAB. In the case of pelvic organ prolapse (POP), weight loss is associated with improvement in quality of life. Although obesity is associated with POP in general, the exact role of obesity in symptomatic POP remains uncertain. While outcomes of anti-incontinence surgery among obese women are similar to those in non-obese women, postoperative urge incontinence is more likely to occur. It seems that obesity is not a risk factor for postoperative complications or short-term efficacy of POP surgical treatment. Long-term effects are still uncertain. Obesity is a strong risk factor for LUTS, but in most cases it does not affect efficacy of operative treatment. It may be associated with some post-operative complications. Weight loss in many cases allows avoiding surgical intervention.
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spelling pubmed-49074022016-06-24 Obesity and Pelvic Floor Disorders: A Review of the Literature Pomian, Andrzej Lisik, Wojciech Kosieradzki, Maciej Barcz, Ewa Med Sci Monit Review Articles Overweight and obesity are becoming a worldwide health problem associated with numerous co-morbidities. National costs of obesity and pelvic flor disorders have been rising since the 1950s across the world. Obesity is thought to have a very strong effect on pelvic floor disorders, and, considering the high prevalence of both problems worldwide, it is of utmost importance to evaluate the association between these pathologies as well as the impact of obesity on treatment efficacy. This review is based on a selection of reports in the literature (PubMed search), including guidelines and Cochrane reviews. Obesity seems to be a well-documented risk factor for lower urinary tract symptoms (LUTS) and is a predictor of exacerbation of stress urinary incontinence (SUI) and overactive bladder (OAB). Weight loss is also associated with improvement or resolution of SUI and OAB. In the case of pelvic organ prolapse (POP), weight loss is associated with improvement in quality of life. Although obesity is associated with POP in general, the exact role of obesity in symptomatic POP remains uncertain. While outcomes of anti-incontinence surgery among obese women are similar to those in non-obese women, postoperative urge incontinence is more likely to occur. It seems that obesity is not a risk factor for postoperative complications or short-term efficacy of POP surgical treatment. Long-term effects are still uncertain. Obesity is a strong risk factor for LUTS, but in most cases it does not affect efficacy of operative treatment. It may be associated with some post-operative complications. Weight loss in many cases allows avoiding surgical intervention. International Scientific Literature, Inc. 2016-06-03 /pmc/articles/PMC4907402/ /pubmed/27255341 http://dx.doi.org/10.12659/MSM.896331 Text en © Med Sci Monit, 2016 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
spellingShingle Review Articles
Pomian, Andrzej
Lisik, Wojciech
Kosieradzki, Maciej
Barcz, Ewa
Obesity and Pelvic Floor Disorders: A Review of the Literature
title Obesity and Pelvic Floor Disorders: A Review of the Literature
title_full Obesity and Pelvic Floor Disorders: A Review of the Literature
title_fullStr Obesity and Pelvic Floor Disorders: A Review of the Literature
title_full_unstemmed Obesity and Pelvic Floor Disorders: A Review of the Literature
title_short Obesity and Pelvic Floor Disorders: A Review of the Literature
title_sort obesity and pelvic floor disorders: a review of the literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907402/
https://www.ncbi.nlm.nih.gov/pubmed/27255341
http://dx.doi.org/10.12659/MSM.896331
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