Prevalence of Anal Incontinence and Constipation in Female Patients with Urinary Incontinence

Musa Saraçoğlu, Aşkın Eroğlu, Rauf Taner Divrik
2018 Journal of Urological Surgery  
Objective: To investigate the prevalence of anal incontinence and constipation in patients with urinary incontinence. Materials and Methods: Adult female patients who presented with the complaint of urinary incontinence were evaluated with anal incontinence and constipation assessment survey prepared on the basis of "the International Consultation on Incontinence Questionnaire-Short Form", "the Overactive Bladder 8-Question Awareness Tool" and "the Rome 3" criteria. Results: Two hundred female
more » ... atients with urinary incontinence were evaluated. The patients were in the age group of 18-88 with the average age of 55.24±16.86 standard deviation. Stress incontinence was present in 19.5%, urge incontinence in 36% and mixed incontinence in 44.5% of the subjects. Seventy-seven percent of patients presented with flatal incontinence, 7.5% with fecal incontinence and 52.5% presented with constipation. There was no difference between sub-groups created according to age groups and types of urinary incontinence in terms of frequency of gastrointestinal symptoms. The incidence of constipation was statistically significantly higher in patients presenting with findings of urinary incontinence for more than 1 year and in those with overactive bladder (p<0.01 and p<0.001, respectively). Conclusion: Flatal incontinence was found in 77%, fecal incontinence in 7.5% and constipation in 52.2% of female adult patients with urinary incontinence. The incidence of constipation was higher at the level of statistical significance in patients presenting with findings of urinary incontinence for more than 1 year and in those with overactive bladder. Amaç: Bu çalışmanın amacı üriner inkontinanslı hastalarda anal inkontinans ve konstipasyon görülme sıklığının araştırılmasıdır. Gereç ve Yöntem: Üriner inkontinans yakınması ile başvuran erişkin kadın hastalar; "International Consultation on Incontinence Short Form", "Overactive Bladder 8-Question Awareness Tool" ve "Roma 3" kriterlerine göre hazırlanan anal inkontinans ve konstipasyon değerlendirme anket formları ile değerlendirildiler. Bulgular: Üriner inkontinansı bulunan 200 kadın hasta değerlendirilmiştir. Hastaların yaşları 18-88 arasında olup ortalama 55,24±16,86 standart sapma olarak bulunmuştur. Stres tipi idrar kaçırma %19,5, sıkışma tipi idrar kaçırma %36 ve karışık tipte idrar kaçırma %44,5 oranlarında bulunmuştur. Gaz inkontinansı %77, fekal inkontinans %7,5 ve konstipasyon %52,5 oranlarında saptanmıştır. Yaş gruplarına göre ve üriner inkontinansın tiplerine göre oluşturulan alt gruplar arasında gastrointestinal semptomların görülme sıklığı açısından fark saptanmamıştır. Üriner inkontinansı bir yıldan daha uzun süreli olan hastalarda ve aşırı aktif mesanesi bulunan hastalarda konstipasyon görülme oranı istatistiksel olarak anlamlı bir şekilde daha yüksek bulunmuştur (sırasıyla; p<0,01 ve p<0,001). Abstract Öz What's known on the subject? and What does the study add? Urinary incontinence and anal incontinence are quite prevalent conditions. On the other hand, some studies have been performed to investigate both of these entities with the hypothesis that they could co-exist due to common risk factors playing a role in the etiopathogenesis. Nevertheless, most of these studies involved elderly and home-care patients. This study aims at investigating the incidence of anal incontinence and constipation in patients with urinary incontinence in all adult age groups.
doi:10.4274/jus.1732 fatcat:rixindimgnh2tb7ko6ubmzecde