PREVALENCE OF DOUBLE INCONTINENCE IN PATIENTS WITH FECALINCONTINENCEANDASSOCIATED FACTORS.

Research output: Contribution to journalMeeting abstract (Journal)

Abstract

Introduction : Double incontinence (DI) is the concomitant presence of incontinence for urine and stool. Studies report
a prevalence of DI between 3 to 5% among adults, with consistently higher numbers in women. The prevalence of faecal
incontinence (FI) is higher, between 7% and 18% in community-dwelling adults and similar in men and women.
Aim : The aim of this study is to assess the prevalence of DI in patients with FI and to identify associated factors at a
tertiary care centre.
Methods : The medical records of consecutive patients referred for Ano-Rectal Manometry (ARM) for FI were reviewed.
Results from ARM, presence of diarrhoea, diseases from recto-anal or peri-anal region, prior abdominal, proctologic or
urological surgery and neurological comorbidities were recorded.
Results : Of 101 enrolled patients, 77.2% suffered from solitary FI (61.5% women), and 22.8% from DI (87.0% women).
Diarrhoea was more common in DI vs. FI (43,5% vs. 15,4%, p=.008), as was the presence of neurological comorbidities
(34.8% vs. 10.3%, p=.009) and urological interventions (21.7% versus 1.3%, P = .002). Presence of diabetes mellitus,
proctologic and abdominal surgery was comparable between groups. In respect to women only, significantly more
urological interventions were performed (20% vs. 0%, p=.006) and more pathologies of rectum, anal canal or perineal
region were encountered in DI vs. FI (35.0 % vs. 12.5 %, p= .045). In men, neurological disorders were significantly
more common in DI vs FI (100.0% vs 3.3%, p=.002). Results from ARM were comparable between DI and FI within
gender.
Conclusions : In patients with FI, despite comparable ARM parameters, gender-specific comorbidities associated with an
increased prevalence of DI were identified. Insight into these factors could identify patientsin need for a multidisciplinary
approach at an early stage. A prospective study should corroborate these results.
Original languageEnglish
Article numberB11
JournalActa Gastro-Enterologica Belgica
Volume84
Issue numberS1
Publication statusPublished - 2021

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