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The Association Between Parity and Fecal Problems Differs by Urinary Status
Lauret A M Brinkman1, G Marije Hierink, G G Alec Malmberg2
1From the Department of Surgery, Anorectal Physiology Laboratory, University of Groningen, University Medical Center Groningen.
Urogynecology (Philadelphia, Pa.)
|May 21, 2025
Summary
Parity influences fecal problems differently in women with and without urinary incontinence. Nulliparous incontinent women are more prone to combined fecal incontinence and constipation, while nulliparous continent women more often experience isolated fecal incontinence.
Area of Science:
- Urogynecology
- Pelvic Floor Disorders
- Gastroenterology
Background:
- Urinary incontinence, fecal incontinence, and constipation are interconnected and common issues.
- The relationship between parity and fecal problems in women with urinary incontinence is not well understood.
Purpose of the Study:
- To investigate if the association between parity and fecal problems differs between urinary continent and incontinent women.
- To analyze the impact of parity on the prevalence of fecal incontinence and constipation.
Main Methods:
- Cross-sectional, retrospective questionnaire-based study of 5,670 Dutch women.
- Data collected using the Groningen Defecation and Fecal Continence questionnaire.
- Statistical analyses included logistic regression to assess parity-fecal problem associations.
Main Results:
- Nulliparous women with urinary incontinence were more likely to report combined fecal incontinence and constipation (13.7% vs 6.3%).
- Nulliparous women with stress urinary incontinence showed a significantly higher risk of combined fecal incontinence and constipation.
- Nulliparous urinary continent women reported solitary fecal incontinence more frequently than parous women (4.3% vs 2.5%).
Conclusions:
- Parity's association with fecal problems varies based on urinary continence status.
- In incontinent women, nulliparity is linked to a higher risk of co-occurring fecal incontinence and constipation.
- In continent women, nulliparity is associated with a greater prevalence of isolated fecal incontinence.
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