The effect of weight loss on moderately obese incontinent women

Introduction This study objectively assesses the effect of moderate weight loss in obese women with urodynamically proven urinary incontinence using the International Consultation on Incontinence recommended outcome measures. Methods Sixty-four incontinent women were offered a weight reduction programme with a target loss of five to ten percent. This included a low calorie diet and exercise. An anti obesity drug (Orlistat) was offered to patients who failed to achieve their target. The following investigations were performed before and after weight loss in all patients: pad test, urodynamic studies, Kings Health Questionnaire, perineal ultrasound, and pelvic floor muscle strength assessment (using perineometry and Oxford score). Results Forty-two women (65%) achieved the target weight loss and had significant reduction in body mass index and girth. Weight loss was associated with significant reduction in pad test loss (median difference, 19 g; 95% confidence interval, 13-28 g p