Abstract
We analyzed the significance of weight and various indices of relative weight in the assessment of genuine stress incontinence (GSI) in 193 female patients. Body mass index [BMI = weight/(height2)] and the other indices of relative weight [weight/height – weight/(height3)] were not markedly different between patients with GSI and a control group of 43 females without demonstrable incontinence. A markedly increased BMI was found to be correlated with a positive clinical stress test. In addition BMI was significantly higher in patients with a higher maximum urethral pressure. We conclude that although obese women tend to have higher maximum urethral pressures, this advantage disappears in regard to the maximum urethral closure pressure, resulting in a higher prevalence of positive clinical stress test.

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