Correlação entre índice de massa corporal e sintomas de bexiga hiperativa em mulheres no menacme

The aim of the study was to establish a correlation between Overactive Bladder (OAB) symptoms and Body Mass Index (BMI) in women aged 20-45. We interviewed 1.050 women aged 20-45 in the area of Campinas, Brazil, to investigate the prevalence of overactive bladder symptoms. In this study, we used the ICIQ-OAB questionnaire (ICS standard), in its validated portuguese version and a specific questionnaire for the demographics, which includes information about BMI. Overall, women with BMI ≥30 presented a significantly higher score than women with a lower BMI (18.5 - 24.9) (p=0.0066). In the analysis of individual symptoms, no significant differences were found regarding urinary frequency (p=0.5469). Women with BMI ≥30 presented more nocturia than women with BMI ranging between 18.5 and 24.9 (p=0.0154). Women in the group of BMI 25 - 29.9 presented more urgency than women with BMI 18.5 - 24.9 (p=0.0278). Significant difference was also found regarding urge-incontinence; women with BMI 25 - 29.9 presented a higher score than women in the group 18.5 - 24.9 (p= 0.0017). Analysis was also performed on the visual analogue scale regarding how much each symptom bothers the women (quality of life). There were no significant differences regarding frequency, nocturia or urgency but urgency incontinence bother was significant. Women with BMI 25 - 29.9 were more bothered by incontinence than women with BMI 18.5 - 24.9 (p=0.002). In conclusion, this study reinforces the correlation between BMI and OAB symptoms. Obese women present more OAB symptoms than non-obese women602111117COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPES6176/11-9O objetivo do estudo foi estabelecer uma correlação entre os sintomas de bexiga hiperativa e índice de massa corporal (IMC) em mulheres com idades entre 20 e 45 anos. Foram entrevistadas 1.050 mulheres com idades entre 20 e 45 anos na região de Campinas, Brasil, para investigar a prevalência de sintomas de bexiga hiperativa. Neste estudo, foi utilizado o questionário ICIQ-OAB (padrão ICS), em sua versão validada em português e um questionário específico para os dados demográficos, que inclui informações sobre o IMC. As mulheres com IMC ≥ 30 apresentaram uma pontuação significativamente maior do que as mulheres com IMC mais baixo (18,5 a 24,9); p = 0,0066. Na análise dos sintomas individuais, não foram encontradas diferenças significativas em relação a frequência urinária (p = 0,5469). Mulheres com IMC ≥ 30 apresentaram mais noctúria do que as mulheres com IMC variando entre 18,5 e 24,9 (p = 0,0154). As mulheres no grupo de IMC 25 a 29,9 apresentaram mais urgência do que as mulheres com IMC 18,5 a 24,9 (p = 0,0278). Também foi encontrada diferença significativa em relação à incontinência de urgência. As mulheres com IMC 25 a 29,9 apresentaram pontuação maior do que as mulheres no grupo 18,5 a 24,9 (p = 0,0017). A análise também foi realizada na escala analógica visual sobre quanto cada sintoma incomoda as mulheres (qualidade de vida). Não houve diferenças significativas em relação a frequência, noctúria e urgência, mas o incômodo causado pela incontinência de urgência foi significativo. Mulheres com IMC 25 a 29,9 foram mais incomodadas com a incontinência do que as mulheres com IMC 18,5 a 24,9 (p = 0,002). Em conclusão, este estudo reforça a correlação entre IMC e sintomas de bexiga hiperativa; mulheres obesas apresentam mais sintomas do que mulheres não obesa

Dynamic Evaluation Of Pelvic Floor Reconstructive Surgery Using Radiopaque Meshes And Three-dimensional Helical Ct.

This prospective study was performed to achieve visualization of the reestablishment of anatomy after reconstructive surgery in the different pelvic compartments with non-absorbable radiopaque meshes, providing valuable anatomic information for surgeons implanting meshes. A total of 30 female patients with stress urinary incontinence (SUI), anterior and posterior vaginal wall prolapse, or both underwent surgical repair using radiopaque meshes after written informed consent. Patients with SUI underwent five different surgeries. Patients with anterior vaginal prolapse underwent a procedure using a combined pre-pubic and transobturator mesh, and those with posterior vaginal prolapse underwent posterior slingplasty. Three-dimensional reconstruction using helical CT was performed four weeks postoperatively. In all cases, the mesh was clearly visualized. Transobturator slings were shown at the midurethra, and the anchoring tails perforated the obturator foramen at the safety region. Mini-slings were in the proper place, and computed angiography revealed that the anchoring system was away from the obturator vessels. In patients undergoing procedure for anterior vaginal prolapse, both pre-pubic armpit and obturator slings were clearly seen and the mesh was in the proper position, supporting the bladder base and occluding the distal part of the urogenital hiatus. Transcoccygeal sacropexy revealed indirectly a well-supported neo rectovaginal fascia and the anchoring tails at the level of ischial spines. Three-dimensional helical tomography images of the female pelvis using radiopaque meshes have a potential role in improving our understanding of pelvic floor reconstructive surgeries. These radiopaque meshes might be the basis of a new investigative methodology.36209-14; discussion 215-