Int Urogynecol J (2017) 28:1377–1385 DOI 10.1007/s00192-017-3279-6 ORIGINAL ARTICLE Obesity and stress urinary incontinence in women: compromised continence mechanism or excess bladder pressure during cough? 1 1 2 1 Carolyn W. Swenson & Giselle E. Kolenic & Elisa R. Trowbridge & Mitchell B. Berger & 3 4 1 Christina Lewicky-Gaupp & Rebecca U. Margulies & Daniel M. Morgan & 1 1 Dee E. Fenner & John O. DeLancey Received: 8 November 2016 /Accepted: 16 January 2017 /Published online: 1 February 2017 The International Urogynecological Association 2017 Abstract 3.191, 95% CI 1.326, 7.683; p < 0.01), but not in normal Introduction and hypothesis We compared two hypotheses as weight or overweight women. Path model analysis showed a to why obesity is associated with stress urinary incontinence significant relationship between BMI and SUI through maxi- (SUI): (1) obesity increases demand on the continence system mal cough pressure (indirect effect, p = 0.038), but not through (e.g. higher cough pressure) and (2) obesity compromises ure- MUCP (indirect effect, p = 0.243) or POP-Q point Aa (indirect thral function and urethrovaginal support. effect, p =0.410). Methods A secondary analysis was performed using data Conclusions Our results support the first hypothesis that obe- from
International Urogynecology Journal – Springer Journals
Published: Feb 1, 2017
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