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03 June 2016 : Review article  

Obesity and Pelvic Floor Disorders: A Review of the Literature

Andrzej PomianAEF, Wojciech LisikAEF, Maciej KosieradzkiAEF, Ewa BarczAEF

DOI: 10.12659/MSM.896331

Med Sci Monit 2016; 22:1880-1886


ABSTRACT: 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.

Keywords: Global Health - statistics & numerical data, Obesity - pathology, Pelvic Floor Disorders - pathology, Prevalence, United States - epidemiology



01 May 2022 : Editorial  

Editorial: Cardiovascular Complications at One Year After SARS-CoV-2 Infection are Independent of Underlying Cardiovascular Risk Factors or Severity of COVID-19

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.937048

Med Sci Monit 2022; 28:e937048


24 May 2022 : Clinical Research  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936962  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936069  

22 April 2022 : Clinical Research  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936547  

In Press

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Med Sci Monit In Press; DOI: 10.12659/MSM.935665  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936580  

24 May 2022 : Clinical Research  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936962  

23 May 2022 : Clinical Research  

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Med Sci Monit In Press; DOI: 10.12659/MSM.936733  

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750