Obesity and Lower Urinary Tract Symptoms in Women

Aim: The aim of this study is to determine the relationship between urinary complaints and obesity in women.Method: This study conducted between December 2008 and December 2009 at the Istanbul University, Istanbul Faculty of Medicine Department of Obstetrics and Gynecology Outpatient Clinic of Gynecology and Urogynecology. Totaly 320 non-pregnant and over 20 (age) women participated in this study. Obesity degree was evaluated by body mass index (BMI).As data collection device The Urinary Symptom Profile-USP and query form (in order to determinate socio-demographic positions of participants) were used. Validity and reliability studies of USP (to Turkish) were done.Results: It was determined that BMI of 40.3% women was in normal limit, 35.6% lightly overwieght and 24.1 % was obese and over obese. USP total points of normal weigth women was found 2.98±4.23, lightly overwiegth women’s found 16.56±4.27, obese and over obese’ found 24.18±4.41. According to USP total points when the difference between lower point and total point was statisticaly examined, a significant difference between total and lower point was determined (p 0.05).When women urinary complaints investigated type of stress urinary incontinence score was found 4.20±2.88, overactive bladder score was found 7.54±5.74 and urinary flow rate score was found 1.18±1.75. 19.1% of the women complained of urgency and frequency are available 18.8%. Multiple regression analysis model was used to determine the level of influence of the factors affecting the total factor points of USP. 20 patients for USP test-retest reliability were administered again two weeks later. Test-retest reliability at a high level has been found that the correlation between any two applications (r=0.93).Conclusion: Body mass index increases urinary complaints increase too.