Prevalence of faecal incontinence among women with urinary incontinence.
Four hundred and sixty-five women attending a urodynamic clinic were interviewed, and completed a detailed bowel questionnaire, about their urinary and bowel symptoms. All the women underwent video-cystourethrography with pressure and flow studies. The reported incidence of faecal incontinence was 15.3% (n = 71) on direct questioning and 26% (n = 121) on the postal questionnaire. Faecal incontinence was more common in women with a urodynamic diagnosis of detrusor instability (30% (n = 26)) than among women diagnosed as having genuine stress incontinence (21% (n = 38)). Denervation and myogenic injuries sustained during childbirth have been suggested as a common cause for genuine stress and faecal incontinence, but there may be an alternative mechanism to explain why women with detrusor instability suffer from faecal incontinence.
Khullar
V
V
Department of Obstetrics and Gynaecology, King's College Hospital, London, UK.
Damiano
R
R
Toozs-Hobson
P
P
Cardozo
L
L
D000328:Adult; D005242:Fecal Incontinence / Q000150:complications*; D005260:Female; D006801:Humans; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000150:complications*