Obesity and Stress Urinary Incontinence in Women

Abstract

The prevalence of obesity is increasing all over the world and in  our country. Obesity  is associated with many diseases. One of them is stress urinary incontinence in women. Obesity is a factor which can increase the severity of incontinence.  Researches are going on for determining the exact role of obesity on stress incontinence. Straining of pelvic muscles, stress and chronic irritation of pelvic nerves have been  reported  to play  roles in the aetiology. The first stage of treatment involves struggling with obesity, behavioural modalities and surgical treatment may be considered next. In this study, obesity and stress urinary incontinence in women will be discussed in the light of current literature.

Keywords

• Obesity, stress urinary incontinence, surgery

Obezite ve Kadınlarda Stres Üriner İnkontinans

Öz

Obezite tüm dünyada olduğu gibi ülkemizde de yükselen trendi ile büyük bir sağlık problemidir. Obezitenin günümüzde birçok hastalıkla ilişkisi belirlenmiştir. Bunlardan biride kadınlardaki stres üriner inkontinanstır. Obezite hem bu hastalığın nedenleri arasında, hem de inkontinansın şiddetini arttırabilen bir etken olarak rol oynamaktadır. Obezitenin stres inkontinanstaki rolü hakkın da halen araştırmalar devam etmektedir. Özellikle pelvik kaslarda ıkınma, gerilme, zayıflama yolu ile; sinirlerde de kronik irritasyonlara yol açarak etyolojide rol oynadığı bildirilmiştir. Yenileyin yapılan çalışmalarda obezitenin ve stres üriner inkontinansın ayrı ayrı ve birlikte hayat kalitesini azalttığına dair bilimsel yazılar literatürde yerini hızla almaktadır. Tedavi aşamasında ise öncelikle obezite ile mücadele, davranış modaliteleri ve gerektiğinde cerrahi tedavi gündeme gelebilir. Bu çalışmada kadınlarda obezite ve stres üriner inkontinans ilişkisinde güncel literatür eşliğinde bahsedilecektir.

Anahtar Kelimeler

• Obezite; stres üriner inkontinans; cerrahi.

Kaynakça

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