ArticleInternational urogynecology journal2017
Obesity and stress urinary incontinence in women: compromised continence mechanism or excess bladder pressure during cough?
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis.International urogynecology journal · 2021Pooled it
- Association between urinary incontinence and sarcopenic obesity among middle-aged and older Brazilian women.PeerJ · 2026Article
- Assessment of Urethral Elasticity by Shear Wave Elastography: A Novel Parameter Bridging a Gap Between Hypermobility and ISD in Female Stress Urinary Incontinence.Bioengineering (Basel, Switzerland) · 2025Article
- Bariatric Surgery Has a Long-Term Beneficial Impact on Urinary Incontinence in Women with Obesity.Medicina (Kaunas, Lithuania) · 2025Article
- Low trunk muscle mass could predict severe stress urinary incontinence in Asian women.Geriatrics & gerontology international · 2025Article
- The association between weight-adjusted-waist index and stress urinary incontinence in female adults: a population-based study.International urology and nephrology · 2024Article
- The impact of appendicular skeletal muscle index and trunk muscle index on stress urinary incontinence risk in female adults: a retrospective study.Frontiers in nutrition · 2024Article
- Addressing urinary incontinence by gender: a nationwide population-based study in Turkiye.BMC urology · 2023Article
- Impact on urinary incontinence after management of complications related to a retropubic midurethral sling.International urogynecology journal · 2023Review
- Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China.BMC pregnancy and childbirth · 2023Article
- Article
- Urethral function and failure: A review of current knowledge of urethral closure mechanisms, how they vary, and how they are affected by life events.Neurourology and urodynamics · 2021Review
- Prevalence of stress urinary incontinence in women presenting for evaluation of chronic cough.ERJ open research · 2021Article
- Life-Threatening and Non-Life-Threatening Complications Associated With Coughing: A Scoping Review.Chest · 2020Article
- Urinary Incontinence and Surgery for Obesity and Weight-Related Diseases: Are There Predictors of Improvement?Obesity surgery · 2019Article
- Urinary Incontinence and Quality of Life in Female Patients with Obesity.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018Article
- Is Bariatric Surgery a Prophylaxis for Pelvic Floor Disorders?Obesity surgery · 2018Article
- Mitigating Symptoms and Enhancing Quality of Life among Women with Stress Urinary Incontinence.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
introduction and hypothesisWe compared two hypotheses as to why obesity is associated with stress urinary incontinence (SUI): (1) obesity increases demand on the continence system (e.g. higher cough pressure) and (2) obesity compromises urethral function and urethrovaginal support.
methodsA secondary analysis was performed using data from a case-control study of SUI in women. Measurements of urethrovaginal support (POP-Q point Aa, urethral axis), urethral function (maximal urethral closure pressure, MUCP), and measures of continence system demand (intravesical pressures at rest and during maximal cough) were analyzed. Cases and controls were divided into three body mass index (BMI) groups: normal (18.5-24.9 kg/m
resultsThe study included 108 continent controls and 103 women with SUI. MUCP was the factor most strongly associated with SUI in all BMI groups. Maximal cough pressure was significantly associated with SUI in obese women (OR 3.191, 95% CI 1.326, 7.683; p < 0.01), but not in normal weight or overweight women. Path model analysis showed a significant relationship between BMI and SUI through maximal cough pressure (indirect effect, p = 0.038), but not through MUCP (indirect effect, p = 0.243) or POP-Q point Aa (indirect effect, p = 0.410).
conclusionsOur results support the first hypothesis that obesity is associated with SUI because of increased intravesical pressure, which therefore increases demand on the continence mechanism.
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Registered trials
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