Prevalence and risk factors of anorectal dysfunction in women with urinary incontinence.

PURPOSE: To evaluate the prevalence and risk factors of anorectal dysfunction among women with urinary incontinence. METHOD: This cross-sectional study was conducted among women attending the urogynecology clinic. Women with symptoms of urinary incontinence were requested to complete a structured questionnaire. RESULTS: Four hundred and thirteen women participated in the study and 43.8% had at least one anorectal symptom. The prevalence rates of anal incontinence, constipation, and difficult defecation were 8.0, 38.0, and 25.7%, respectively. The risk factors associated with anorectal dysfunction were age and number of parity. CONCLUSION: Anorectal dysfunction was prevalent among women with urinary incontinence; age and number of parity were the risk factors. All women with symptoms of urinary incontinence should be evaluated about anorectal symptoms.

Impact of stress urinary incontinence and overactive bladder on quality of life in Thai women attending the urogynecology clinic.

OBJECTIVE: To investigate the impact of stress urinary incontinence (SUI) and overactive bladder (OAB) on the quality of life (QOL) using disease specific health-related QOL questionnaire. MATERIAL AND METHOD: Three hundred and nineteen women with SUI and/or OAB, attending the urogynecolgy clinic, Ramathibodi Hospital were recruited in the present study. Information on QOL was collected, using the Thai version of modified incontinence-specific quality of life questionnaire (I-QOL) and short form incontinence impact questionnaire (IIQ-7). RESULTS: In 319 cases, the diagnosis of SUI, OAB, and both were 55 cases, 78 cases, and 186 cases, respectively. There was no statistically significant difference in patients' characteristics in three groups. The patients with both SUI and OAB showed significantly lower scores in all domains of I-QOL than the SUI and OAB groups, whereas QOL, assessed by IIQ-7, showed significant impairment in the combined SUI and OAB group, only in the emotional health domain. CONCLUSION: Stress urinary incontinence and overactive bladder have a detrimental impact on patient health-related QOL. Women with a combination of SUI and OAB have the greatest impairment in QOL.