@article{d2cfc3b39af142b9a9e09bb05537f82b,
title = "Associated factors and the impact of fecal incontinence in women with urge urinary incontinence: from the Urinary Incontinence Treatment Network's Behavior Enhances Drug Reduction of Incontinence study",
abstract = "Objective: The objective of the study was to determine the prevalence, risk factors, and impact on quality-of-life (QOL) that fecal incontinence (FI) symptoms have on women seeking treatment for urge urinary incontinence (UUI). Study Design: Baseline sociodemographic, history, physical examination, and validated questionnaire data were analyzed in 307 women enrolled in the Behavior Enhances Drug Reduction of Incontinence study for associations with FI. FI was defined as loss of liquid/solid stool occurring at least monthly. Multivariable logistic regression models compared women with FI and UUI with women with only UUI. Results: Prevalence of monthly FI was 18%, liquid stool (12%), and solid stool (6%). In multivariable analysis, FI was associated with vaginal delivery, posterior vaginal wall prolapse, higher body mass index, and UUI symptoms. QOL was worse in women with FI/UUI than isolated UUI. Conclusion: Women seeking treatment for UUI have high rates of monthly FI with a negative impact on QOL.",
keywords = "fecal incontinence, quality-of-life, risk factors, urge urinary incontinence, women",
author = "{Urinary Incontinence Treatment Network} and Markland, {Alayne D.} and Richter, {Holly E.} and Kenton, {Kimberly S.} and Clifford Wai and Nager, {Charles W.} and Kraus, {Stephen R.} and Yan Xu and Tennstedt, {Sharon L.} and W. Steers and A. Diokno and V. Mallett and S. Khandwala and L. Brubaker and M. FitzGerald and Lloyd, {L. K.} and M. Albo and Chai, {T. C.} and Johnson, {H. W.} and Zyczynski, {H. M.} and W. Leng and P. Zimmern and G. Lemack and T. Rozanski and P. Norton and L. Kerr and A. Stoddard and D. Chang and Kusek, {J. W.} and Nyberg, {L. M.} and Weber, {A. M.} and D. Borello-France and Burgio, {K. L.} and S. Chiang and A. Dabbous and C. Ghetti and Goode, {P. S.} and Hammontree, {L. N.} and J. Lowder and K. Luber and E. Lukacz and S. Menefee and P. Moalli and K. Peters and J. Schaffer and A. Simsiman and L. Sirls and R. Starr and Varner, {R. E.} and R. Bradt and L. Burr",
note = "Funding Information: This study was supported in part by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases with additional support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Research on Women's Health, National Institutes of Health. ",
year = "2009",
month = apr,
day = "1",
doi = "10.1016/j.ajog.2008.11.023",
language = "English",
volume = "200",
pages = "424.e1--424.e8",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "4",
}