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Background and Purpose: This research intended to investigate the effect of visceral fat as well as total body fat reduction on stress urinary incontinence (SUI) in obese females. Subjects and Methods: 60 obese women with SUI took part in this research. They were between 35 and 50 years old also their body mass index (BMI) was >29.9 kg/m2. They were put into three equal-sized groups at random. Control group received pelvic floor muscles (PFM) exercise three session/week for 12 weeks; diet group received PFM exercise and low caloric diet (800-1200) calories/day; and ultrasound cavitation (UC) group received PFM exercise and UC two session/week for 12 weeks. Body mass index (BMI) as well as waist circumference (WC) were measured; visceral fat (VF) and total body fat (TBF) were measured using body composition analyzer; PFM strength was measured using EMG biofeedback device and urinary functions were evaluated using international consultation on incontinence questionnaire (ICIQ). Results: Both diet and UC groups revealed a substantial decline (p=0.001) in BMI, WC, TBF, VF, and ICIQ score and a substantial improvement (p=0.001) in PFM strength after treatment. Contrasted to the control group, both diet as well as UC groups revealed a substantial improvement (p=0.001) in the mean difference of BMI, WC, TBF, VF, ICIQ score, and PFM strength. Compared to the UC group, the diet group revealed a substantial improvement (p= 0.001) in the mean difference of BMI, TBF, and VF and non-significant difference (p>0.05) in WC, ICIQ score and PFM strength. Conclusions: The UC has a similar effect to low-calorie diet in improving SUI symptoms and PFM strength in obese women. So, both methods could be used alternatively in the treatment protocol of SUI in obese women.
