Pelvi-périnéologie

, Volume 5, Issue 1, pp 39–44

Chirurgie de l’incontinence urinaire à l’effort chez la femme obèse

Mise Au Point / Update

Résumé

L’obésité constitue un facteur de risque clairement démontré de l’incontinence urinaire de la femme. En cas de surpoids, un programme de réduction pondérale améliore l’incontinence urinaire avec une diminution du nombre d’épisodes de fuites et peut donc être proposé en traitement de première intention. Les résultats du TVT (tension-free vaginal tape) chez les patientes obèses sont comparables à ceux obtenus chez les patientes de poids normal, et cette intervention constitue la procédure de choix pour le traitement chirurgical de l’incontinence urinaire d’effort en cas d’obésité. L’obésité ne constitue pas non plus un facteur de risque pour les complications per- et postopératoires.

Mots clés

Incontinence urinaire à l’effort Obésité TVT 

SUI surgery in obese women

Abstract

Obesity is an established risk factor for SUI. Among overweight women, a weight loss program improves urinary incontinence with a rediction in the frequency of self-reported urinary incontinence episodes and may be suggested as a first line therapy. Success rate after TVTare similar among obese patients and normal weight patients and TVT is the prime procedure to treat SUI in obese patients. Obesity does not appear as a risk factor for intra- and postoperative complications.

Keywords

Effort urinary incontinence Obesity TVT 

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Copyright information

© Springer Paris 2010

Authors and Affiliations

  1. 1.Service de gynécologie-obstétriqueHôtel-Dieu, CHU de Clermont-FerrandClermont-FerrandFrance

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