title: Obesity and pelvic floor dysfunction.
abstract: 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.
authors: Department of Urogynaecology, Apollo Hospitals, Chennai, India. Electronic address: kalaivani5@yahoo.com.
authors: Kalaivani
authors: K
authors: Ramalingam
authors: Princess Anne Hospital, University Hospitals Southampton NHS Trust, United Kingdom.
authors: Ash
authors: A
authors: Monga
mesh_terms: D050110:Bariatric Surgery; D005242:Fecal Incontinence / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D009765:Obesity / Q000453:epidemiology* / Q000628:therapy; D059952:Pelvic Floor Disorders / Q000453:epidemiology*; D056887:Pelvic Organ Prolapse / Q000453:epidemiology / Q000628:therapy; D015995:Prevalence; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000628:therapy; D053201:Urinary Bladder, Overactive / Q000453:epidemiology / Q000628:therapy; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000628:therapy; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000628:therapy; D014596:Uterine Prolapse / Q000453:epidemiology* / Q000628:therapy; D061217:Weight Reduction Programs
keywords: faecal incontinence; obesity; pelvic floor dysfunction; sexual dysfunction; urinary incontinence; uterovaginal prolapse; weight loss surgery