Mp75-20 Prevalence of Double Incontinence in Urology Consultations: A Multicentric Study

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction (Excluding OAB) (MP75)1 May 2024MP75-20 PREVALENCE OF DOUBLE INCONTINENCE IN UROLOGY CONSULTATIONS: A MULTICENTRIC STUDY Manuel Saavedra Centeno, I. Senra, C. Velasco, V. Viegas, A. Sanchez, M. Rodrigo, J. Casado, C. Müller-Arteaga, C. Zubiaur, J. I. Jimenez, F. Donis, G. Celada, J. Sanchez, A. Tienza, R. Gonzalez, J. Medina-Polo, M. Esteban, L. Villamil, E. Rodriguez-Fernandez, L. A. San José, and L. Lopez-Fando Manuel Saavedra CentenoManuel Saavedra Centeno , I. SenraI. Senra , C. VelascoC. Velasco , V. ViegasV. Viegas , A. SanchezA. Sanchez , M. RodrigoM. Rodrigo , J. CasadoJ. Casado , C. Müller-ArteagaC. Müller-Arteaga , C. ZubiaurC. Zubiaur , J. I. JimenezJ. I. Jimenez , F. DonisF. Donis , G. CeladaG. Celada , J. SanchezJ. Sanchez , A. TienzaA. Tienza , R. GonzalezR. Gonzalez , J. Medina-PoloJ. Medina-Polo , M. EstebanM. Esteban , L. VillamilL. Villamil , E. Rodriguez-FernandezE. Rodriguez-Fernandez , L. A. San JoséL. A. San José , and L. Lopez-FandoL. Lopez-Fando View All Author Informationhttps://doi.org/10.1097/01.JU.0001008676.21744.5f.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Severe pelvic floor dysfunction can manifest as a combination of both fecal and urinary incontinence, with a negative effect on patients' quality of life and general health. The objective of this study is to determine the prevalence of fecal incontinence in patients diagnosed with urinary incontinence, to describe the impact of this diagnosis on patients' quality of life using validated questionnaires and to assess possible associated risk factors. METHODS: This is a multicentric, prospective, cross-sectional study that analyses basal characteristics, comorbidities, degree of fecal and urinary incontinence and scores on quality of life questionnaires in patients of all genders over 18 years of age diagnosed with urinary incontinence on urology outpatient consultations. Urinary incontinence was measured with the International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF), with a score of ≥1 considered to be urinary incontinent. Fecal incontinence was assessed with the Wexner Score for fecal incontinence, considering a score of ≥9 as severe fecal incontinence. The 36-Item Short Form Survey Instrument (SF-36) and the Barthel Index for Activities of Daily Living were used to evaluate impact on quality of life. Univariant and multivariant analysis were conducted to determine which variables behaved as risk factors for severe fecal incontinence. RESULTS: 430 patients were included in the study to date, all of whom had an ICIQ-SF≥1. The prevalence of severe fecal incontinence (Wexner≥9) was 45.1% (194/430). Mean age was 62.6 (±13.3) years and women were predominant to males (79.5%, 342/430). Patients with severe fecal incontinence presented with significantly more type 2 Diabetes mellitus (7.6% vs. 14.4%, p=0.032), grade IV rectocele (p<0.001), grade IV hysterocele (p<0.001) and grade IV vaginal cuff prolapse (p<0.001).Patients with severe fecal incontinence had a higher score in ICIQ-SF (11.9 vs. 14.8, p<0.001), a lower score on all items of SF-36 (118 vs. 106, p<0.001) and a lower global score on the Barthel Index for Activities of Daily Living (85.4 vs 79.6, p<0.001). A breakdown of the Barthel Index shows a lower score in the Bladder Control (4.3 vs 2.9, p<0.001) and Bowel Control (8.6 vs. 5.4, p<0.001) items. Univariant and multivariant analysis of demographic and clinical variables showed that vaginal cuff prolapse was the only statistically significant multiplying factor for severe fecal incontinence, with an univariant OR of 4.9 (95%CI 1.3 – 18.8, p=0.019) and a multivariant OR of 16.5 (95%CI 1.4 – 191.7, p=0.025). CONCLUSIONS: Assessing fecal incontinence in patients suffering from urinary incontinence is paramount, given the high prevalence of severe fecal incontinence in this population group and its detrimental effects on quality of life. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1241 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Manuel Saavedra Centeno More articles by this author I. Senra More articles by this author C. Velasco More articles by this author V. Viegas More articles by this author A. Sanchez More articles by this author M. Rodrigo More articles by this author J. Casado More articles by this author C. Müller-Arteaga More articles by this author C. Zubiaur More articles by this author J. I. Jimenez More articles by this author F. Donis More articles by this author G. Celada More articles by this author J. Sanchez More articles by this author A. Tienza More articles by this author R. Gonzalez More articles by this author J. Medina-Polo More articles by this author M. Esteban More articles by this author L. Villamil More articles by this author E. Rodriguez-Fernandez More articles by this author L. A. San José More articles by this author L. Lopez-Fando More articles by this author Expand All Advertisement PDF downloadLoading ...