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

doi:10.1016/j.ajog.2008.11.023

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 journal › Article › peer-review

24 Scopus citations

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 language	English (US)
Pages (from-to)	424.e1-424.e8
Journal	American journal of obstetrics and gynecology
Volume	200
Issue number	4
DOIs	https://doi.org/10.1016/j.ajog.2008.11.023
State	Published - Apr 1 2009
Externally published	Yes

Funding

This study was supported in part by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases with additional support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Research on Women's Health, National Institutes of Health.

Keywords

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

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2008.11.023

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@article{1aa1f0f9b1384b598225916ce01fd864,

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.} and W. Steers and A. Diokno and V. Mallett and S. Khandwala and L. Brubaker and M. FitzGerald and Lloyd, {L. K.} and M. Albo and Chai, {T. C.} and Johnson, {H. W.} and Zyczynski, {H. M.} and W. Leng and P. Zimmern and G. Lemack and T. Rozanski and P. Norton and L. Kerr and A. Stoddard and D. Chang and Kusek, {J. W.} and Nyberg, {L. M.} and Weber, {A. M.} and D. Borello-France and Burgio, {K. L.} and S. Chiang and A. Dabbous and C. Ghetti and Goode, {P. S.} and Hammontree, {L. N.} and J. Lowder and K. Luber and E. Lukacz and S. Menefee and P. Moalli and K. Peters and J. Schaffer and A. Simsiman and L. Sirls and R. Starr and Varner, {R. E.} and R. Bradt and L. Burr",

note = "Funding Information: This study was supported in part by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases with additional support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Research on Women's Health, National Institutes of Health. ",

year = "2009",

month = apr,

day = "1",

doi = "10.1016/j.ajog.2008.11.023",

language = "English (US)",

volume = "200",

pages = "424.e1--424.e8",

journal = "American journal of obstetrics and gynecology",

issn = "0002-9378",

publisher = "Elsevier Inc.",

number = "4",

}

Urinary Incontinence Treatment Network 2009, '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', American journal of obstetrics and gynecology, vol. 200, no. 4, pp. 424.e1-424.e8. https://doi.org/10.1016/j.ajog.2008.11.023

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.
In: American journal of obstetrics and gynecology, Vol. 200, No. 4, 01.04.2009, p. 424.e1-424.e8.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

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.

AU - Steers, W.

AU - Diokno, A.

AU - Mallett, V.

AU - Khandwala, S.

AU - Brubaker, L.

AU - FitzGerald, M.

AU - Lloyd, L. K.

AU - Albo, M.

AU - Chai, T. C.

AU - Johnson, H. W.

AU - Zyczynski, H. M.

AU - Leng, W.

AU - Zimmern, P.

AU - Lemack, G.

AU - Rozanski, T.

AU - Norton, P.

AU - Kerr, L.

AU - Stoddard, A.

AU - Chang, D.

AU - Kusek, J. W.

AU - Nyberg, L. M.

AU - Weber, A. M.

AU - Borello-France, D.

AU - Burgio, K. L.

AU - Chiang, S.

AU - Dabbous, A.

AU - Ghetti, C.

AU - Goode, P. S.

AU - Hammontree, L. N.

AU - Lowder, J.

AU - Luber, K.

AU - Lukacz, E.

AU - Menefee, S.

AU - Moalli, P.

AU - Peters, K.

AU - Schaffer, J.

AU - Simsiman, A.

AU - Sirls, L.

AU - Starr, R.

AU - Varner, R. E.

AU - Bradt, R.

AU - Burr, L.

N1 - Funding Information: This study was supported in part by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases with additional support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Research on Women's Health, National Institutes of Health.

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.

KW - fecal incontinence

KW - quality-of-life

KW - risk factors

KW - urge urinary incontinence

KW - women

UR - http://www.scopus.com/inward/record.url?scp=84978023504&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978023504&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2008.11.023

DO - 10.1016/j.ajog.2008.11.023

M3 - Article

C2 - 19200939

AN - SCOPUS:84978023504

SN - 0002-9378

VL - 200

SP - 424.e1-424.e8

JO - American journal of obstetrics and gynecology

JF - American journal of obstetrics and gynecology

IS - 4

ER -

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

Funding

Keywords

ASJC Scopus subject areas

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