Gerten Kimberly A, Richter Holly E, Burgio Kathryn L, Wheeler Thomas L, Goode Patricia S, Redden David T
Department of Obstetrics and Gynecology, Division of Women's Pelvic Medicine and Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA.
Urology. 2007 Dec;70(6):1082-5. doi: 10.1016/j.urology.2007.07.058.
To determine the impact of urinary incontinence (UI) on quality of life in morbidly obese women seeking bariatric surgery compared with women seeking urogynecologic care.
Women undergoing consultation for weight loss surgery completed questionnaires assessing the presence and severity of UI using the Medical, Epidemiological, and Social Aspects of Aging questionnaire and the impact of their UI using the Incontinence Impact Questionnaire-7 and Urogenital Distress Inventory-6. The charts of the women with UI seen in a urogynecology center were reviewed. For these two samples, pairs were matched for UI severity using the total Medical, Epidemiological, and Social Aspects of Aging scores, and the women within pairs were compared concerning the impact of UI.
A total of 93 pairs were matched. Morbidly obese women had lower scores on the Incontinence Impact Questionnaire-7 (mean 20.1 versus 42.0, P <0.0001) and the Urogenital Distress Inventory-6 (mean 30.4 versus 54.4, P <0.0001) compared with the urogynecology clinic patients.
The results of our study have shown that the impact of UI is lower in morbidly obese women than in women seeking urogynecologic care.
与寻求泌尿妇科治疗的女性相比，确定尿失禁（UI）对寻求减肥手术的病态肥胖女性生活质量的影响。
接受减肥手术咨询的女性使用《衰老的医学、流行病学和社会方面》问卷完成评估尿失禁的存在和严重程度的问卷，并使用《尿失禁影响问卷-7》和《泌尿生殖系统困扰量表-6》评估其尿失禁的影响。回顾了在泌尿妇科中心就诊的尿失禁女性的病历。对于这两个样本，使用《衰老的医学、流行病学和社会方面》总分对尿失禁严重程度进行配对，并比较配对内女性尿失禁的影响。
共匹配了93对。与泌尿妇科门诊患者相比，病态肥胖女性在《尿失禁影响问卷-7》（平均20.1对42.0，P<0.0001）和《泌尿生殖系统困扰量表-6》（平均30.4对54.4，P<0.0001）上得分更低。
我们的研究结果表明，病态肥胖女性尿失禁的影响低于寻求泌尿妇科治疗的女性。
