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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Related Experiment Video

Updated: Sep 18, 2025

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Fecal Incontinence Drives the Psychosocial Burden in Patients with Dual Incontinence.

Karla Rebullar1, Delaney J Orcutt2, Melissa R Kaufman2

  • 1Vanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA. karla.rebullar@vumc.org.

International Urogynecology Journal
|June 20, 2025
PubMed
Summary

Dual incontinence (DI) significantly worsens physical and mental health, increasing stress and depression. Fecal incontinence (FI) appears to be the primary driver of this burden, suggesting targeted FI treatment could improve quality of life.

Keywords:
Dual incontinenceFecal incontinencePsychosocial burdenUrinary incontinence

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Area of Science:

  • Urology
  • Gastroenterology
  • Psychosocial Health

Background:

  • Urinary incontinence (UI) and fecal incontinence (FI) negatively impact quality of life (QOL).
  • Dual incontinence (DI), involving both UI and FI, presents a compounded challenge.
  • The psychosocial burden associated with DI requires further investigation.

Purpose of the Study:

  • To compare the physical and mental health of patients with UI, FI, and DI.
  • To assess the psychosocial burden in patients with DI.
  • To hypothesize that DI is associated with increased psychosocial burden.

Main Methods:

  • Online questionnaires assessed sociodemographics, incontinence symptoms, and psychosocial comorbidity.
  • Patient-Reported Outcomes Measurement Information System (PROMIS) measured physical health, mental health, anxiety, depression, stress, and instrumental support.
  • PROMIS scores were compared across groups: no incontinence (NI), UI, FI, and DI.

Main Results:

  • 3620 respondents completed the study; 78% female, 84% white.
  • The DI group was older (mean age 54) and had higher BMI (mean 29 kg/m²).
  • DI patients reported significantly lower physical and mental health, and higher stress and depression scores compared to other groups. The burden was comparable between DI and FI groups, suggesting FI drives the impact.

Conclusions:

  • Dual incontinence leads to poorer patient-reported physical and mental health and increased psychosocial burden.
  • Fecal incontinence appears to be the primary contributor to the psychosocial burden in dual incontinence.
  • Addressing fecal incontinence in patients with dual incontinence may improve their quality of life.