Obesity and pelvic floor dysfunction

被引:97
作者
Ramalingam, Kalaivani [1 ]
Monga, Ash [2 ]
机构
[1] Apollo Hosp, Dept Urogynaecol, Madras, Tamil Nadu, India
[2] Univ Hosp Southampton NHS Trust, Princess Anne Hosp, Southampton, Hants, England
关键词
obesity; pelvic floor dysfunction; urinary incontinence; uterovaginal prolapse; faecal incontinence; sexual dysfunction; weight loss surgery; INDUCED WEIGHT-LOSS; URINARY-INCONTINENCE; OVERACTIVE BLADDER; STRESS-INCONTINENCE; VAGINAL TAPE; RISK-FACTORS; WOMEN; DISORDERS; SURGERY; PREVALENCE;
D O I
10.1016/j.bpobgyn.2015.02.002
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Obesity is associated with a high prevalence of pelvic floor disorders. Patients with obesity present with a range of urinary, bowel and sexual dysfunction problems as well as uterovaginal prolapse. Urinary incontinence, faecal incontinence and sexual dysfunction are more prevalent in patients with obesity. Uterovaginal prolapse is also more common than in the non-obese population. Weight loss by surgical and non-surgical methods plays a major role in the improvement of these symptoms in such patients. The treatment of symptoms leads to an improvement in their quality of life. However, surgical treatment of these symptoms may be accompanied by an increased risk of complications in obese patients. A better understanding of the mechanism of obesity-associated pelvic floor dysfunction is essential. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:541 / 547
页数:7
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