title: Prevalence and risk factors of anorectal dysfunction in women with urinary incontinence.
abstract: OBJECTIVE
  To evaluate the prevalence and risk factors of anorectal dysfunction among women with urinary incontinence.
  
  
  METHODS
  This cross-sectional study was conducted among women attending the urogynecology clinic. Women with symptoms of urinary incontinence were requested to complete a structured questionnaire.
  
  
  RESULTS
  Four hundred and thirteen women participated in the study and 43.8% had at least one anorectal symptom. The prevalence rates of anal incontinence, constipation, and difficult defecation were 8.0, 38.0, and 25.7%, respectively. The risk factors associated with anorectal dysfunction were age and number of parity.
  
  
  CONCLUSIONS
  Anorectal dysfunction was prevalent among women with urinary incontinence; age and number of parity were the risk factors. All women with symptoms of urinary incontinence should be evaluated about anorectal symptoms.
authors.affiliation: Department of Obstetrics and Gynaecology, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand. rajmo@mahidol.ac.th
authors.forename: Jittima
authors.initials: J
authors.lastname: Manonai
authors.forename: Rujira
authors.initials: R
authors.lastname: Wattanayingcharoenchai
authors.forename: Sirirat
authors.initials: S
authors.lastname: Sarit-Apirak
authors.forename: Nathatai
authors.initials: N
authors.lastname: Vannatim
authors.forename: Apichart
authors.initials: A
authors.lastname: Chittacharoen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003248:Constipation / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005242:Fecal Incontinence / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012002:Rectal Diseases / Q000453:epidemiology; D012307:Risk Factors; D013785:Thailand; D014549:Urinary Incontinence / Q000453:epidemiology*; D055815:Young Adult