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

Urinary Incontinence Treatment Network

Research output: Contribution to journalArticle

18 Citations (Scopus)

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.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume200
Issue number4
DOIs
StatePublished - Apr 1 2009

Fingerprint

Urge Urinary Incontinence
Fecal Incontinence
Urinary Incontinence
Pharmaceutical Preparations
Quality of Life
Therapeutics
Logistic Models
Uterine Prolapse
Physical Examination
Body Mass Index
History

Keywords

  • fecal incontinence
  • quality-of-life
  • risk factors
  • urge urinary incontinence
  • women

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

@article{e015a95b59fe409eb9d7e385ddb1fcda,
title = "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",
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.",
keywords = "fecal incontinence, quality-of-life, risk factors, urge urinary incontinence, women",
author = "{Urinary Incontinence Treatment Network} and Markland, {Alayne D.} and Richter, {Holly E.} and Kenton, {Kimberly S.} and Clifford Wai and Nager, {Charles W.} and Kraus, {Stephen R.} and Yan Xu and Tennstedt, {Sharon L.}",
year = "2009",
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doi = "10.1016/j.ajog.2008.11.023",
language = "English (US)",
volume = "200",
journal = "American Journal of Obstetrics and Gynecology",
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T1 - Associated factors and the impact of fecal incontinence in women with urge urinary incontinence

T2 - from the Urinary Incontinence Treatment Network's Behavior Enhances Drug Reduction of Incontinence study

AU - Urinary Incontinence Treatment Network

AU - Markland, Alayne D.

AU - Richter, Holly E.

AU - Kenton, Kimberly S.

AU - Wai, Clifford

AU - Nager, Charles W.

AU - Kraus, Stephen R.

AU - Xu, Yan

AU - Tennstedt, Sharon L.

PY - 2009/4/1

Y1 - 2009/4/1

N2 - 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.

AB - 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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KW - urge urinary incontinence

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