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Double incontinence in urogynecologic practice: a new insight
Marco Soligo1, Stefano Salvatore, Rodolfo Milani
1Department of Gynecological Surgery, University of Milan, Bicocca-Bassini Hospital, Italy. marcosoligo@libero.it
American Journal of Obstetrics and Gynecology
|October 2, 2003
Summary
Anal incontinence affects over 20% of women with lower urinary tract disorders. Urge anal incontinence is linked to detrusor overactivity, suggesting distinct patient subgroups for targeted research and treatment.
Area of Science:
- Urogynecology
- Female Pelvic Medicine
- Lower Urinary Tract Disorders
Background:
- Anal incontinence (AI) is a common condition with significant impact on quality of life.
- Its prevalence and relationship with lower urinary tract dysfunction (LUTD) in urogynecologic settings require further elucidation.
Purpose of the Study:
- To determine the prevalence of anal incontinence among women presenting with lower urinary tract disorders.
- To investigate the association between specific lower urinary tract dysfunctions and anal incontinence.
Main Methods:
- Prospective study of 504 women in a urogynecologic clinic.
- Data collection included specific questionnaires on anal incontinence and clinical/instrumental data.
- Statistical analysis involved Wilcoxon rank sum, Fisher exact, and logistic regression tests (P<.005).
Main Results:
- 20.2% of women with LUTD reported anal incontinence.
- Women with double incontinence (urinary and anal incontinence) exhibited higher urinary urgency scores.
- Urge anal incontinence was significantly associated with detrusor overactivity.
Conclusions:
- Anal incontinence is highly prevalent in women with lower urinary tract disorders.
- Identifying distinct subgroups of patients with combined anal and urinary symptoms is crucial for research and treatment development.