Adult urologyImpact of Urinary Incontinence in Morbidly Obese Women Versus Women Seeking Urogynecologic Care
Section snippets
Material and Methods
Using a matched-pairs design, the participants were morbidly obese women with UI who underwent consultation for weight loss surgery from October 2003 to February 2005, and a comparison group composed of women seen in at an outpatient urogynecology center with a primary diagnosis of stress, urge, or mixed UI during the same period. The University of Alabama at Birmingham Institutional Review Board for Human Use approved the study.
The morbidly obese women, before their initial office visit,
Results
Matching produced 93 pairs of observations (186 total subjects). The characteristics of the two groups are presented in Table 1. Subjects ranged in age from 20 to 52 years, with no difference between the groups (mean 41.7 versus 43.2, P = 0.17). The racial composition of the morbidly obese group was 67.7% white and 32.3% African American or Hispanic, and the urogynecology clinic group was 83.8% white and 14.0% African American or Hispanic (P = 0.007). A comparison of other medical conditions
Comment
The results of this study have shown that the effect of UI was lower in morbidly obese women than in women seeking urogynecologic care, despite being matched for UI severity. We hypothesized that the impact of UI in morbidly obese women might be overshadowed by other more salient comorbid conditions or by the obesity itself. Our findings have demonstrated that factors are present in addition to severity that influence the personal impact of UI. The threshold for impairment caused by UI could
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