Mp23-20 There Is No Association Between Urinary Tract Infections and Fecal Incontinence in an Ambulatory Adult Patient Population

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence (MP23)1 May 2024MP23-20 THERE IS NO ASSOCIATION BETWEEN URINARY TRACT INFECTIONS AND FECAL INCONTINENCE IN AN AMBULATORY ADULT PATIENT POPULATION Sabrina L. Stair, Jamie Yoon, Kyle Dymanus, Una Lee, and Sarah Adelstein Sabrina L. StairSabrina L. Stair , Jamie YoonJamie Yoon , Kyle DymanusKyle Dymanus , Una LeeUna Lee , and Sarah AdelsteinSarah Adelstein View All Author Informationhttps://doi.org/10.1097/01.JU.0001008776.99097.8a.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary tract infections (UTI) are one of the leading causes of infection in adults. The most common source of infection is gastrointestinal bacteria that ascends the urethra into the bladder. Fecal incontinence (FI) is the involuntary loss of stool. Although some studies have shown that fecal incontinence (FI) is a risk factor for UTI development, these studies were performed in non-ambulatory, nursing home populations. Thus, the ability to extrapolate the results to an ambulatory adult population is limited. The objective of this study was to determine whether there is an association between fecal incontinence and UTI in an ambulatory adult population. METHODS: We performed a retrospective case-control analysis. Patients with a diagnosis of fecal incontinence were identified from a single institution and propensity score matched with patients who presented for screening colonoscopies from 2018 to 2021. Patients were matched on age, sex, race, ethnicity, body mass index and comorbidities such as diabetes, vesicoureteral reflux, benign prostatic hyperplasia, and urinary incontinence. The association between fecal incontinence and UTI diagnosis was tested using Pearson's Chi-squared test. RESULTS: 3,035 patients with a diagnosis of FI who were identified and matched with 3,035 control patients. The results of the propensity matched analysis are summarized in Table 1. There was no significant different in age, race, diabetes diagnosis, vesicoureteral reflux, or benign prostatic hypertrophy between the two groups. Patients had a mean age of 64 years. 71% of patients were women, and 51% were white. Patients with FI were more likely to have concurrent urinary incontinence (18.62% vs 10.25% for case/control, p<0.001), specifically urgency incontinence (13.28% vs 11.57% for case/control, p=0.04). There was no significant difference in the incidence of UTI diagnosis between patients with fecal incontinence and those presenting for screening colonoscopy (99.88% vs 99.08% for case/control, p=0.44). CONCLUSIONS: In a diverse ambulatory adult population, there is no association between FI and UTI. Current stigmatizing beliefs regarding the association between fecal incontinence and UTI should be reevaluated. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e389 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sabrina L. Stair More articles by this author Jamie Yoon More articles by this author Kyle Dymanus More articles by this author Una Lee More articles by this author Sarah Adelstein More articles by this author Expand All Advertisement PDF downloadLoading ...