Associated Factors and the Impact of Fecal Incontinence in Women with Urge Urinary Incontinence: from the Urinary Incontinence Treatment Network's Behavior Enhances Drug Reduction of Incontinence Study

Overview

Journal Am J Obstet Gynecol

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2009 Feb 10

PMID 19200939

Citations 13

Authors

Alayne D Markland

Holly E Richter

Kimberly S Kenton

Clifford Wai

Charles W Nager

Stephen R Kraus

Yan Xu

Sharon L Tennstedt

Affiliations

Soon will be listed here.

Abstract

Objective: The objective of the study was to determine the prevalence, risk factors, and impact on quality-of-life (QOL) that fecal incontinence (FI) symptoms have on women seeking treatment for urge urinary incontinence (UUI).

Study Design: Baseline sociodemographic, history, physical examination, and validated questionnaire data were analyzed in 307 women enrolled in the Behavior Enhances Drug Reduction of Incontinence study for associations with FI. FI was defined as loss of liquid/solid stool occurring at least monthly. Multivariable logistic regression models compared women with FI and UUI with women with only UUI.

Results: Prevalence of monthly FI was 18%, liquid stool (12%), and solid stool (6%). In multivariable analysis, FI was associated with vaginal delivery, posterior vaginal wall prolapse, higher body mass index, and UUI symptoms. QOL was worse in women with FI/UUI than isolated UUI.

Conclusion: Women seeking treatment for UUI have high rates of monthly FI with a negative impact on QOL.

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