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International Neurourology Journal 2012;16:

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1 International Neurourology Journal 2012;16:126-131
Relationship between Body Mass Index and Overactive Bladder in Women and Correlations with Urodynamic Evaluation Tariq F. Al-Shaiji, Sidney B. Radomski Department of Urology, Toronto Western Hospital, Toronto, ON, Canada This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

2 International Neurourology Journal 2012;16:126-131
INTRODUCTION Overactive bladder (OAB) is a common condition. In women, studies have shown that the prevalence of OAB is positively related to increasing body mass index (BMI). Our objective was to define a relationship between BMI and OAB through correlation with urodynamic study (UDS). MATERIALS AND METHODS This was a retrospective review of preoperative and postoperative urodynamic variables, which were prospectively collected. All women from 2006 to 2008, who underwent RH for uterine cervical cancer with a stage of 1A to 2B with or without adjuvant RT were enrolled. All patients were divided into two groups: group 1, without RT, and group 2, with adjuvant RT. Urodynamic studies were performed before, 10 days after, and 6 months after RH.

3 International Neurourology Journal 2012;16:126-131
RESULTS A total of 113 patients were examined (group 1, n=32; group 2, n=40; group 3, n=41). The patients’ mean ages were 50, 55, and 59 years for groups 1, 2, and 3, respectively (P<0.05). Group 3 showed a significant increase in the incidence of subjective mixed leakage and the number of pads used compared with groups 1 and 2. No significant differences were seen among the groups in duration of symptoms, OAB V-8 score, or the incidence of subjective urgency or stress leakage. The UDS parameters of groups 1, 2, and 3 showed no statistically significant differences for most variables. Group 3 showed a significant increase in the incidence of urge leakage by UDS compared with group 2 only. CONCLUSIONS Increasing BMI was age related. A BMI≥30 showed a higher incidence of subjective urinary mixed leakage and pad use. UDS showed no significant correlation between OAB and any BMI category for most UDS parameters.

4 International Neurourology Journal 2012;16:126-131
Table 1. Comparison of quantitative data between the three groups (n=113)

5 International Neurourology Journal 2012;16:126-131
Table 2. Comparison of qualitative data between groups 1 and 2 (n=113)

6 International Neurourology Journal 2012;16:126-131
Table 3. Comparison of qualitative data between groups 1 and 3 (n=113)

7 International Neurourology Journal 2012;16:126-131
Table 4. Comparison of qualitative data between groups 2 and 3 (n=113)


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