President of Continence Association Prof. Dr. Tufan Tarcan said that if the cycle of overweight and limitation of movement is not resolved, it will lead to many health problems and added: “One of them is urinary incontinence.
One out of every three patients with stress type urinary incontinence who recovered from obesity, urinary incontinence improves. The increase in intra-abdominal pressure, the effect on the pelvic floor, stress shows the harmful effect of obesity on urinary incontinence. "
On the relationship between obesity and urinary incontinence, Prof. Dr. Tufan Tarcan made important statements. Prof. Dr. Tufan Tarcan said that excessive weight (obesity) increases the severity of both urge-type urinary incontinence and stress-type urinary incontinence.
Stating that they know that overweight is a part of the metabolic syndrome and has a harmful effect on many organs, Prof. Dr. Tufan Tarcan said, “Excess weight also concerns the bladder, in other words the bladder. There is a predisposition to diabetes in metabolic syndrome. Diabetes, which is more common in overweight people, plays a role in disrupting bladder function. said.
Emphasizing that overweight is a risk factor in both men and women, Prof. Dr. Tufan Tarcan, “Excess weight affects the testosterone mechanism in men. Excessive fat in the body increases the amount of estrogen. It also increases the likelihood of sexual dysfunction in men. " he spoke.
Mentioning that excessive weight has an effect on pelvic floor diseases and the frequency of stress type urinary incontinence due to the pressure it exerts on the pelvic floor. Dr. Tufan Tarcan said, “One out of every three patients with stress type urinary incontinence who recovered from obesity, urinary incontinence is recovered. The increase in intraabdominal pressure, the effect on the pelvic floor, stress shows the harmful effect of obesity on urinary incontinence. " found in the description.
Obesity patients should be well informed about the risks of overweight.
Underlining that the treatment of obesity and metabolic syndrome, if any, should be aimed before drug treatment in patients with urinary incontinence complaints, Prof. Dr. Tufan Tarcan said, “Causal treatment requires this. Unfortunately, this is the treatment we find most difficult. It is not an easy situation for a person to lose weight. He must first believe and be convinced of this. We put other risks that excessive weight can create on the body in front of the patient and try to convince the patient by informing the patient about these risks. The biggest mistake that can be made is not to inform overweight people about this issue. " He spoke in the form.
Noting that excessive weight reduces the success of the treatment, Prof. Dr. Tufan Tarcan said, “Drug treatments for urgency type urinary incontinence give worse results in overweight people. Treatment success is also lower in obese patients. Therefore, it is very important for the patient to lose weight in order to increase the success of the treatment. Drug treatments are more unsuccessful in patients with urge-type urinary incontinence, and surgical treatment may be less successful in obese patients with stress-type urinary incontinence. found in the description.
The frequency of urinary incontinence increases in sedentary people
Emphasizing that inactivity, which is generally associated with obesity, is a risk factor that makes the work of doctors very difficult. Dr. Tufan Tarcan continued as follows: “The incidence of urinary incontinence and other urological diseases is increasing in immobile people. Sitting for a long time, lying for a long time and being dependent on bed become a very serious problem, especially as the age gets older. The patient, accustomed to inactivity, reaches such a point in advanced ages that he cannot get up and reach the toilet. Some orthopedic problems can also join this table. The most troubling table we see is arthritis in the knee joints, preventing the patient from standing up and walking. In such cases, we recommend that patients use hygienic bladder pads for the temporary solution of urinary incontinence problems. Because the patient cannot walk or go to the toilet, he is urinating at normal time. We call this functional type incontinence. These people do not have any problems with their urinary tract. These people are urinary incontinence because they cannot go to the toilet due to limitation of movement. When you look at the backgrounds of these people, unfortunately, we see that the biggest risk factor is excessive weight and inactivity. If we want such a problem not to occur when we get older, we will pay attention to our weight throughout our life and we will do regular sports so that our joints are not damaged. Above a certain age, the most recommended sport is walking. " said.
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