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
Alayne D Markland, Holly E Richter, Kimberly S Kenton, Clifford Wai, Charles W Nager, Stephen R Kraus, Yan Xu, Sharon L Tennstedt, Urinary Incontinence Treatment Network, William Steers, Ananias Diokno, Veronica Mallett, Salil Khandwala, Linda Brubaker, MaryPat FitzGerald, Holly E Richter, L Keith Lloyd, Michael Albo, Charles Nager, Toby C Chai, Harry W Johnson, Halina M Zyczynski, Wendy Leng, Philippe Zimmern, Gary Lemack, Stephen Kraus, Thomas Rozanski, Peggy Norton, Lindsey Kerr, Sharon Tennstedt, Anne Stoddard, Debuene Chang, John W Kusek, Leroy M Nyberg, Anne M Weber, Diane Borello-France, Kathryn L Burgio, Seine Chiang, Ash Dabbous, Chiara Ghetti, Patricia S Goode, Lee N Hammontree, Kimberly Kenton, Jerry Lowder, Karl Luber, Emily Lukacz, Alayne Markland, Shawn Menefee, Pamela Moalli, Kenneth Peters, Joseph Schaffer, Amanda Simsiman, Larry Sirls, Robert Starr, R Edward Varner, Rosemary Bradt, Laura Burr, Karen Debes, Tamara Dickinson, Rosanna Dinh, Judy Gruss, Alice Howell, Kathy Jesse, D Lynn Kalinoski, Kristen Mangus, Karen Mislanovich, Judy Murray, Shelly O'Meara, Janese Parent, Norma Pope, Caren Prather, Sylvia Sluder, Mary Tulke, Robin Willingham, Gisselle Zazueta-Damian, Dorothy Atkins, Jan Baker, Karen Debes, Kathy Jesse, Ryanne R Johnson, R Jeannine McCormick, Karen Mislanovich, Christy Moore, Elva Kelly Moore, Amy Mutch, Betsy Nielsen-Omeis, Lisa Radebaugh, Patsy Riley, Karen VandeVegt, Kimberly J Dandreo, Corinne J Leifer, Heather Litman, Susan M McDermott, Anne Stoddard, Sharon Tennstedt, Liane Tinsley, Elizabeth A Gormley, Paul Abrams, Diedre Bland, J Quentin Clemens, John Connett, William Henderson, Dee Fenner, Sheryl Kelsey, Deborah Myers, Jacek Mostwin, Bassem Wadie, Alayne D Markland, Holly E Richter, Kimberly S Kenton, Clifford Wai, Charles W Nager, Stephen R Kraus, Yan Xu, Sharon L Tennstedt, Urinary Incontinence Treatment Network, William Steers, Ananias Diokno, Veronica Mallett, Salil Khandwala, Linda Brubaker, MaryPat FitzGerald, Holly E Richter, L Keith Lloyd, Michael Albo, Charles Nager, Toby C Chai, Harry W Johnson, Halina M Zyczynski, Wendy Leng, Philippe Zimmern, Gary Lemack, Stephen Kraus, Thomas Rozanski, Peggy Norton, Lindsey Kerr, Sharon Tennstedt, Anne Stoddard, Debuene Chang, John W Kusek, Leroy M Nyberg, Anne M Weber, Diane Borello-France, Kathryn L Burgio, Seine Chiang, Ash Dabbous, Chiara Ghetti, Patricia S Goode, Lee N Hammontree, Kimberly Kenton, Jerry Lowder, Karl Luber, Emily Lukacz, Alayne Markland, Shawn Menefee, Pamela Moalli, Kenneth Peters, Joseph Schaffer, Amanda Simsiman, Larry Sirls, Robert Starr, R Edward Varner, Rosemary Bradt, Laura Burr, Karen Debes, Tamara Dickinson, Rosanna Dinh, Judy Gruss, Alice Howell, Kathy Jesse, D Lynn Kalinoski, Kristen Mangus, Karen Mislanovich, Judy Murray, Shelly O'Meara, Janese Parent, Norma Pope, Caren Prather, Sylvia Sluder, Mary Tulke, Robin Willingham, Gisselle Zazueta-Damian, Dorothy Atkins, Jan Baker, Karen Debes, Kathy Jesse, Ryanne R Johnson, R Jeannine McCormick, Karen Mislanovich, Christy Moore, Elva Kelly Moore, Amy Mutch, Betsy Nielsen-Omeis, Lisa Radebaugh, Patsy Riley, Karen VandeVegt, Kimberly J Dandreo, Corinne J Leifer, Heather Litman, Susan M McDermott, Anne Stoddard, Sharon Tennstedt, Liane Tinsley, Elizabeth A Gormley, Paul Abrams, Diedre Bland, J Quentin Clemens, John Connett, William Henderson, Dee Fenner, Sheryl Kelsey, Deborah Myers, Jacek Mostwin, Bassem Wadie
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.
Source: PubMed