Prevalence and risk factors of fecal incontinence in women undergoing stress incontinence surgery.
OBJECTIVE
The objective of the study was to determine the prevalence and identify potential risk factors for monthly fecal incontinence (FI) in women presenting for stress urinary incontinence (UI) surgery.


METHODS
From 655 women enrolled in the Stress Incontinence Surgical Treatment Efficacy Trial, baseline data were analyzed. FI was defined as occurring at least monthly. Independent variables included sociodemographics, health status and history, physical examination, and validated UI questionnaires. Multivariable logistic regression models compared women with FI with women with only UI.


RESULTS
Prevalence of monthly FI was 16%, 10% for liquid stool, and 6% for solid stool. In multivariable analysis, increased risk of FI was associated (odds ratio, 95% confidence interval) with decreased anal sphincter contraction (4.5, 2.0 to 10.4), perimenopausal status (2.4, 1.1 to 5.0), prior incontinence surgery/treatment (1.8, 1.1 to 2.9), and increased UI bother (1.1, 1.1 to 1.2).


CONCLUSIONS
Women enrolled in a stress UI surgical trial have high rates of monthly FI and further evaluation of FI symptoms may be warranted.
Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL 35233, USA. amarkland@aging.uab.edu
Alayne D
AD
Markland
Stephen R
SR
Kraus
Holly E
HE
Richter
Charles W
CW
Nager
Kimberly
K
Kenton
Lindsey
L
Kerr
Yan
Y
Xu
D000328:Adult; D005242:Fecal Incontinence / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*