title: Prevalence of and quality of life related to anal incontinence in women with urinary incontinence and pelvic organ prolapse.
abstract: OBJECTIVE
  To investigate the prevalence of anal incontinence (AI) in woman with urinary incontinence (UI) and pelvic organ prolapse (POP). We also evaluated the impact on quality of life (QoL).
  
  
  METHODS
  One hundred and ninety patients with UI or POP and 73 controls were recruited. AI was investigated by the Wexner index and the prevalence rates were obtained in all groups. Patients with AI completed the Fecal Incontinence Quality of Life questionnaire (FIQL). QoL was assessed using the Medical Outcome Study 36-item Short Form Health Survey (SF-36).
  
  
  RESULTS
  AI prevalence was 40.54% in the UI group and 27.91% in the POP group (p<0.0001). In the UI and POP groups correlations were found between the Wexner score and the domains of the FIQL and SF36.
  
  
  CONCLUSIONS
  The UI group had higher prevalence of AI than the other groups. The AI adversely affected the QoL of patients.
authors.affiliation: Federal University of Rio de Janeiro, Brazil.
authors.forename: Paula
authors.initials: P
authors.lastname: de Mello Portella
authors.forename: Paulo Cezar
authors.initials: PC
authors.lastname: Feldner
authors.forename: José Carlos
authors.initials: JC
authors.lastname: da Conceição
authors.forename: Rodrigo Aquino
authors.initials: RA
authors.lastname: Castro
authors.forename: Marair Gracio Ferreira
authors.initials: MG
authors.lastname: Sartori
authors.forename: Manoel João Batista Castello
authors.initials: MJ
authors.lastname: Girão
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D005242:Fecal Incontinence / Q000150:complications* / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications*; D015995:Prevalence; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000150:complications*