Effect of Visceral vs Total Body Fat Reduction in Obese Female With Stress Urinary Incontinence

Dina Mohamed Tarek Mansour El-kasrawy

Status: Completed

Conditions: Stress Urinary Incontinence

Treatments: Behavioral: low caloric diet, ultrasound cavitation,Kegel exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05944484

Effect of fat on SUI

Details and patient eligibility

About

The aim of this study is to investigate the visceral fat reduction versus total body fat reduction on stress urinary incontinence in obese females.

Full description

compare the effect of visceral fat reduction versus total body fat reduction on stress urinary incontinence in obese females.

control group: consist of 20 obese women. They will receive Kegel exercises only 3 session/ week for 12 weeks.

Diet group: consist of 20 obese women. They will receive low caloric diet and Kegel exercises 3 session/week for 12 weeks.

Ultrasound cavitation group: consist of 20 obese women. They will receive Kegel exercises 3 session/week and ultrasound cavitation two sessions per week.

Enrollment: 60 patients

Sex: Female

Ages: 35 to 48 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• They will be diagnosed with stress urinary incontinence grade≥ 1
• Their age will range from 35-48 years old.
• Their body mass index will exceed 29.9 kg/m².
• Their hip waist ratio will be more than 0.85 cm.
• They will be multipara >1.

Exclusion criteria

• · Fecal incontinence, urge incontinence, overflow incontinence or functional incontinence or prolapse.

  • Diabetes, asthma, cardiovascular, or renal diseases
  • Taking medication for stress urinary incontinence or hormonal replacement therapy.
  • Gynecological surgeries, or surgeries for obesity.
  • Pregnant women.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

kegel exercises

Active Comparator group

Description:

Kegel exercise program performed for 12 weeks( 3 sessions /week ) .• "The first step is external observation, with the patient in the lithotomy position.And describe for each woman how to feel her muscle when she stops mid-stream urine. * "The second step is vaginal examination, performed gently with one finger." - The digital exam served a double purpose: first to assess the development of the puboccocygeus muscle and second to verify that the patient was able to identify the correct muscle * The third stage main exercises quick flick : contract muscle as quickly as possible 10-20 times then relax then count 10 for relax then reapeat .( 50 repetitions) slow contraction: tighten the muscle as hard as you can for account of 10 -20 .relax for acount 10 then repeat ( 50 repetitions) sustained contraction: tighten the muscle halfway and hold 60 seconds .relax for account 20 then repeat (10 repetitions)

Treatment:

Behavioral: low caloric diet, ultrasound cavitation,Kegel exercises

low caloric diet

Active Comparator group

Description:

low caloric diet (800-1200) calories/day . According to each patient, diet should contain (carbohydrate protein, fats, minerals, vitamins),1200 calories in the first month, 1000 calories in the second month, and 800 calories in the third month. Every week, each woman will be allowed to change the types of food to avoid boarding.

Treatment:

Behavioral: low caloric diet, ultrasound cavitation,Kegel exercises

ultrasound cavitation

Active Comparator group

Description:

ultrasound cavitation, for 30 minutes on abdomen with continuous emission and frequency of 40 KHz, 3-6 W/cm2, 60W with 10cm2 active surface, twice/ week with 3 days apart for 12 weeks.

Treatment:

Behavioral: low caloric diet, ultrasound cavitation,Kegel exercises