, 2013.
This study was conducted to determine the effect of the abdominal fat reduction on the symptoms of stress urinary incontinence. Thirty patients suffering from mild and moderate degree of stress urinary incontinence (diagnosed by certificated gynecologist) from Said Galal University Hospital, shared in this study between April and December 2012. Their ages ranged from 35 to 55 years old, their body mass index were exceeding 30 Kg/ m2 representing all types of obesity, Class Ι (30—34.9 Kg/ m2), Class ΙΙ (35—39.9 Kg/ m2) and Class ΙΙΙ (more than 40 Kg/ m2). All patients did not receive any other treatment method for stress urinary incontinence before or during participation in this study. They were treated by using low frequency ultrasound machine, used twice weekly for 6 weeks for 12 sessions. Weight, BMI, Waist circumference, Fat folds, Pad weight and number of episodes were evaluated for all patients before and after treatment.
Results showed that there was a significant decrease in patients’ weight and BMI after treatment. The percentage of improvement was 4.01 % & 4.02 % respectively (improved). Also results showed a significant improvement in waist circumference between pre and post treatment. The percentage of improvement was 7.6%. There was a significant decrease in fat fold at mid axillary point (MA), Abdominal point (Abd) and at suprailiac point (SI). The percentage of improvement was (8.01%, 19.73% and 14.48%) respectively. There was a significant decrease in pads weight between before treatment and after treatment as the percentage of improvement was 19.03 % .There was a significant difference of number of episodes between before and after treatment as the percentage of improvement was 12.2 %. Accordingly, it could be concluded that abdominal fat reduction is very effective therapeutic modality in reducing the symptoms of stress urinary incontinence; so, it can be considered as an alternative as well as, adjacent method for treating such cases.