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Association between fecal incontinence and lower urinary tract symptoms and their impact on the quality of life of patients with prostate cancer
Azevedo, Natália Burgos Freire; Abreu, Glícia Estevam de.
  • Azevedo, Natália Burgos Freire; Serviço Estadual de Oncologia. Coloproctology Department. Salvador. BR
  • Abreu, Glícia Estevam de; Serviço Estadual de Oncologia. Coloproctology Department. Salvador. BR
J. coloproctol. (Rio J., Impr.) ; 42(1): 32-37, Jan.-Mar. 2022. tab
Article in English | LILACS | ID: biblio-1375765
ABSTRACT

Objective:

To evaluate the association of fecal incontinence (FI) and lower urinary tract symptoms (LUTS) in patients diagnosed with initial prostate cancer (PC) and after any therapeutic approach (surgery and radiotherapy).

Methods:

Cross-sectional study using the Cleveland Clinic Incontinence Score (CCIS), the Fecal Incontinence Quality of Life (FIQL) questionnaire, and the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB).

Results:

A total of 84 patients with PC were included 40 of them had not started treatment, 31 were submitted to radical prostatectomy (RP), and 13 were submitted to radiotherapy (RT). Those submitted to RT presented higher scores on the ICIQ-OAB (p=0.01). When comparing the whole sample reagarding the patients with and without FI, we observed that the incontinents presented a higher frequency of urinary incontinence (UI) (p<0.001). Moreover, when comparing patients with/without FI within their treatment groups regarding the presence of UI and FIQL scores, we identified that patients undergoing RP presented an association between UI and FI (p<0.001) and a greater impact of FI on the FIQL (p<0.001).

Conclusion:

Patients submitted to RT present more intense LUTS. Moreover, patients with FI present a higher association with UI, and this association is more marked in those with FI submitted to RP. (AU)
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Prostatic Neoplasms / Lower Urinary Tract Symptoms Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Serviço Estadual de Oncologia/BR

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Full text: Available Index: LILACS (Americas) Main subject: Prostatic Neoplasms / Lower Urinary Tract Symptoms Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Serviço Estadual de Oncologia/BR