Anal incontinence in women presenting for gynecologic care: prevalence, risk factors, and impact upon quality of life.

Abstract:

OBJECTIVE:The purpose of this study was to estimate the prevalence and impact upon quality of life of anal incontinence (AI) in women aged 18 to 65. STUDY DESIGN:Consecutive women presenting for general gynecologic care were given a bowel function questionnaire. Women with AI were prompted to complete the Fecal Incontinence Severity Index (FISI) and Fecal Incontinence Quality of Life Scale (FIQL). RESULTS:The cohort was composed of 457 women with a mean age of 39.9 +/- 11 years. AI prevalence was 28.4% (95% CI 24.4-32.8). After logistic regression, IBS (OR 3.22, 1.75-5.93), constipation (OR 2.11, 1.22-3.63), age (OR 1.05, 1.03-1.07), and BMI (OR 1.04, 1.01-1.08) remained significant risk factors. The mean FISI score was 20.4 +/- 12.4. Women with only flatal incontinence scored higher, and women with liquid loss scored lower on all 4 scales of the FIQL. CONCLUSION:AI is prevalent in women seeking benign gynecologic care, and liquid stool incontinence has the greatest impact upon quality of life.

journal_name

Am J Obstet Gynecol

authors

Boreham MK,Richter HE,Kenton KS,Nager CW,Gregory WT,Aronson MP,Vogt VY,McIntire DD,Schaffer JI

doi

10.1016/j.ajog.2004.11.030

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

1637-42

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002937804019830

journal_volume

192

pub_type

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