Anal incontinence in women presenting for gynecologic care: prevalence, risk factors, and impact upon quality of life
Department of Obstetrics and Gynecology
Medical Subject Headings
Adult; Aging; Body Mass Index; Cohort Studies; Constipation; Delivery of Health Care; Diarrhea; Fecal Incontinence; Female; Gynecology; Humans; Inflammatory Bowel Diseases; Logistic Models; Middle Aged; Odds Ratio; Prevalence; *Quality of Life; Questionnaires; Risk Factors; Severity of Illness Index
Obstetrics and Gynecology
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.
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Citation: Am J Obstet Gynecol. 2005 May;192(5):1637-42. Link to article on publisher's site