Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study
Objectives: Double incontinence (DI), which is the co-occurrence of fecal incontinence (FI) and urinary incontinence (UI), increases with age and has a greater negative impact on the quality of life (QOL) than either incontinence alone. We aimed to assess lower urinary tract symptoms (LUTS) in patie...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japan Society of Coloproctology
2024-01-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/8/1/8_2023-040/_pdf/-char/en |
| _version_ | 1797346865080958976 |
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| author | Tatsuya Abe Seiji Matsumoto Masao Kunimoto Yoshikazu Hachiro Shigenori Ota Kei Ohara Mitsuhiro Inagaki Yusuke Saitoh Masanori Murakami |
| author_facet | Tatsuya Abe Seiji Matsumoto Masao Kunimoto Yoshikazu Hachiro Shigenori Ota Kei Ohara Mitsuhiro Inagaki Yusuke Saitoh Masanori Murakami |
| author_sort | Tatsuya Abe |
| collection | DOAJ |
| description | Objectives: Double incontinence (DI), which is the co-occurrence of fecal incontinence (FI) and urinary incontinence (UI), increases with age and has a greater negative impact on the quality of life (QOL) than either incontinence alone. We aimed to assess lower urinary tract symptoms (LUTS) in patients with FI to elucidate the prevalence and characteristics of DI.
Methods: This study enrolled consecutive patients who visited our hospital with FI symptoms. FI was evaluated using the Cleveland Clinic Florida Fecal Incontinence Score (CCFIS). LUTS were assessed using the International Prostate Symptom Score (IPSS), QOL score (IPSS-QOL) and Overactive Bladder Symptom Score (OABSS).
Results: This study evaluated 140 patients (96 women [mean age: 70.7 years] and 44 men [mean age: 74.4 years]). The mean IPSS was significantly higher in men than in women (12.0 vs. 7.5, p = 0.003). A positive correlation was found between IPSS and CCFIS in women (r = 0.256, p = 0.012) but not in men. For both sexes, the older group (aged 70 years) had higher OABSS scores and more urge UI instances than the younger group (aged 69 years). Of the 140 patients with FI, 78 (55.7%) had DI, and DI was more common in women than in men (63.5% vs. 38.6%, p = 0.006).
Conclusions: The characteristics of LUTS and UI in patients with FI were comparable to those in the general population for both sexes; however, the prevalence of DI was much higher among patients with FI than that in the general population. |
| first_indexed | 2024-03-08T11:39:22Z |
| format | Article |
| id | doaj.art-61df8de24a454e429706dfb5210a5995 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-03-08T11:39:22Z |
| publishDate | 2024-01-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-61df8de24a454e429706dfb5210a59952024-01-25T07:45:34ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532024-01-0181303810.23922/jarc.2023-0402023-040Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational StudyTatsuya Abe0Seiji Matsumoto1Masao Kunimoto2Yoshikazu Hachiro3Shigenori Ota4Kei Ohara5Mitsuhiro Inagaki6Yusuke Saitoh7Masanori Murakami8Department of Proctology, Kunimoto HospitalHeadquarters for Research Promotion, Asahikawa Medical UniversityDepartment of Proctology, Kunimoto HospitalDepartment of Proctology, Kunimoto HospitalDepartment of Proctology, Kunimoto HospitalDepartment of Proctology, Kunimoto HospitalDepartment of Proctology, Kunimoto HospitalDepartment of Gastroenterology, Kunimoto HospitalDepartment of Gastroenterology, Kunimoto HospitalObjectives: Double incontinence (DI), which is the co-occurrence of fecal incontinence (FI) and urinary incontinence (UI), increases with age and has a greater negative impact on the quality of life (QOL) than either incontinence alone. We aimed to assess lower urinary tract symptoms (LUTS) in patients with FI to elucidate the prevalence and characteristics of DI. Methods: This study enrolled consecutive patients who visited our hospital with FI symptoms. FI was evaluated using the Cleveland Clinic Florida Fecal Incontinence Score (CCFIS). LUTS were assessed using the International Prostate Symptom Score (IPSS), QOL score (IPSS-QOL) and Overactive Bladder Symptom Score (OABSS). Results: This study evaluated 140 patients (96 women [mean age: 70.7 years] and 44 men [mean age: 74.4 years]). The mean IPSS was significantly higher in men than in women (12.0 vs. 7.5, p = 0.003). A positive correlation was found between IPSS and CCFIS in women (r = 0.256, p = 0.012) but not in men. For both sexes, the older group (aged 70 years) had higher OABSS scores and more urge UI instances than the younger group (aged 69 years). Of the 140 patients with FI, 78 (55.7%) had DI, and DI was more common in women than in men (63.5% vs. 38.6%, p = 0.006). Conclusions: The characteristics of LUTS and UI in patients with FI were comparable to those in the general population for both sexes; however, the prevalence of DI was much higher among patients with FI than that in the general population.https://www.jstage.jst.go.jp/article/jarc/8/1/8_2023-040/_pdf/-char/endouble incontinencefecal incontinencelower urinary tract symptomsoveractive bladderpelvic organ prolapseurinary incontinence |
| spellingShingle | Tatsuya Abe Seiji Matsumoto Masao Kunimoto Yoshikazu Hachiro Shigenori Ota Kei Ohara Mitsuhiro Inagaki Yusuke Saitoh Masanori Murakami Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study Journal of the Anus, Rectum and Colon double incontinence fecal incontinence lower urinary tract symptoms overactive bladder pelvic organ prolapse urinary incontinence |
| title | Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study |
| title_full | Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study |
| title_fullStr | Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study |
| title_full_unstemmed | Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study |
| title_short | Prevalence of Double Incontinence and Lower Urinary Tract Symptoms in Patients with Fecal Incontinence: A Single-center Observational Study |
| title_sort | prevalence of double incontinence and lower urinary tract symptoms in patients with fecal incontinence a single center observational study |
| topic | double incontinence fecal incontinence lower urinary tract symptoms overactive bladder pelvic organ prolapse urinary incontinence |
| url | https://www.jstage.jst.go.jp/article/jarc/8/1/8_2023-040/_pdf/-char/en |
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