Tümay İPEKÇİ, Hakan GÜLMEZ, Erhan ATEŞ, Yiğit AKIN, Adil Emrah SONBAHAR, Mehmet Oğur YILMAZ

Obezite ve Kadınlarda Stres Üriner İnkontinans

Obezitenin prevalansı tüm dünyada ve ülkemizde artmaktadır. Obezite birçok hastalıkla ilişkilendirilmektedir. Bunlardan biride kadınlardaki stres idrar kaçırmadır. Obezite bu hastalığın şiddetini arttırmaktadır. Obezitenin stres idrar kaçırma üzerine kesin etkilerini araştırmak için çalışmalar devam etmektedir.Özellikle pelvik kaslardaki gerilme, stress ve pelvik sinirlerin kronik irritasyonun kadınlarda stres idrar kaçırma etyolojisinde rol oynadığı gösterilmiştir. Tedavide ilk basamak obezite ile mücadeleyi, sonrasında davranış tedavisini ve son olarak gerektiğinde cerrahi müdahaleyi içermektedir. Bu çalışmada kadınlarda obezite ve stres inkontinans ilişkisi güncel literatür eşliğinde incelenecektir.

Obesity and Stress Urinary Incontinence in Women

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.

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