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Archives of Gynecology and Obstetrics

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01-12-2009 | Original Article

The coexistence of anal incontinence in women with urinary incontinence

Authors: Murat Ekin, L. C. Kupelioglu, L. Yasar, K. Savan, Z. Akcıg, A. J. Ozcan

Published in: Archives of Gynecology and Obstetrics | Issue 6/2009

Abstract

Purpose

To investigate the coexistentence of anal incontinence (AI) in patients with urinary incontinence (UI).

Materials and methods

UDI 6 questionnaire was applied to consecutive 800 patients for the determination of symptomatic UI. Cases were also questioned for AI. The patients with the complaint of UI were evaluated for the coexistence of AI. Each patient with AI, had completed the Cleveland Clinic Florida Fecal Incontinence questionnaire for the determination of the severity of AI. Chi-square and Mann–Whitney U test were used for the evaluation of qualitative data. Multivariable analysis using logistic regression was done to test the overall significance of all variables that were significantly associated with UI using univariate analysis.

Results

There were 233 (29.1%) cases of UI and 105 (13.1%) cases of AI. 60 (7.5%) of these patients were suffering from both UI and AI. 60 (57.1%) of 105 patients with AI also had UI. In patients with UI, the coexistence of AI was found in 25.7%. There was a positive correlation between UI and AI (R = 0.240, Chi-square P < 0.001). In logistic regression model, AI [(OR) 3.5, 95% confidence interval 2.26, 5.49], parity and episiotomy were found to be associated with UI. Parity and vaginal delivery by episiotomy were risk factors for the occurrence of AI.

Conclusion

AI is positively correlated with UI patients. Symptoms of AI must be questioned in all gynecology patients. Unnecessary episiotomy should be avoided.

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Title: The coexistence of anal incontinence in women with urinary incontinence
Authors: Murat Ekin
L. C. Kupelioglu
L. Yasar
K. Savan
Z. Akcıg
A. J. Ozcan
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 6/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1053-9

At a glance: The STEP trials

Springer Medicine

The coexistence of anal incontinence in women with urinary incontinence

Abstract

Purpose

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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