Factors Impacting Quality of Life in Women With Fecal Incontinence

Markland, Alayne D.; Greer, W. Jerod; Vogt, Alicia; Redden, David T.; Goode, Patricia S.; Burgio, Kathryn L.; Richter, Holly E.

doi:10.1007/dcr.0b013e3181d5da6c

Cited by 39 publications

(33 citation statements)

References 26 publications

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“…Studies using other scales such as MMHQ have been also reached interesting conclusions. Markland [45] studied women presenting with FI and reported a weak correlation between the FISI severity score and the MMHQ. Younger women (<65 years) had higher MMHQ scores, representing a negative impact on HRQoL and the authors suggested that young patients were more likely to report their limitations and seek treatment.…”

Section: What Do We Know About Qol In Patients With Fi?mentioning

confidence: 99%

Quality of Life Considerations on Fecal Incontinence

Duyos¹,

Ribas²

2020

Current Topics in Faecal Incontinence

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Traditionally, it has been assumed that tests like anorectal manometry and endoanal ultrasound are essential in the evaluation of fecal incontinence (FI). However, in daily practice, this testing rarely helps in the decision-making, as are mainly based on the patient's symptoms. Moreover, indications and outcome evaluation should not be decided by only considering the symptom severity but the impact on QoL and patient satisfaction. Nowadays, patients tend to be active consumers of health care, so they may participate on the medical decision-making. On the other hand, monitoring treatment results are mandatory in current practice. Finally, considering the cost of some of the current treatments for FI, changes in QoL should be demonstrated before implementing some procedures. For all these reasons, the QoL scales should be used, and readers encouraged to become familiar with QoL instruments and their limitations. The following chapter will cover almost all areas on existing knowledge about QoL in patients with FI: from how many types of QOL scales have been described, to the different ways to measure our patients' satisfaction, passing through the difference between severity and QOL, going deep on if the improvement of patients treated for FI is reflected enough in the current used QOL scales.

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Section: What Do We Know About Qol In Patients With Fi?mentioning

confidence: 99%

Quality of Life Considerations on Fecal Incontinence

Duyos¹,

Ribas²

2020

Current Topics in Faecal Incontinence

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“…1,2 One important but understudied aspect of women’s quality of life that is likely to be affected by AI is sexual function. Not only can symptoms related to AI interfere with women’s ability to engage in sexual activity, but they also have the potential to worsen underlying sexual problems and decrease women’s satisfaction with their overall sexual quality of life.…”

Section: Introductionmentioning

confidence: 99%

Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women

Imhoff

Brown

Creasman

et al. 2012

Diseases of the Colon &Amp; Rectum

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Background The impact of anal incontinence on women’s sexual function is poorly understood. Objective To investigate the relationship between anal incontinence and sexual activity and functioning in women. Design Cross-sectional study. Settings Community-based integrated healthcare delivery system. Patients 2,269 ethnically-diverse women aged 40 to 80 years. Main Outcome Measures Self-administered questionnaires assessed accidental leakage of gas (flatal incontinence) and fluid/mucus/stool (fecal incontinence) in the past 3 months. Additional questionnaires assessed sexual activity, desire and satisfaction, as well as specific sexual problems (difficulty with arousal, lubrication, orgasm, or pain). Multivariable logistic regression models compared sexual function in women with 1) isolated flatal incontinence, 2) fecal incontinence (with or without flatal incontinence), and 3) no fecal/flatal incontinence, controlling for potential confounders. Results Twenty-four percent of women reported fecal incontinence and 43% reported isolated flatal incontinence in the prior 3 months. The majority were sexually active (62% of women without fecal/flatal incontinence, 66% with isolated flatal incontinence, and 60% with fecal incontinence; p=0.06). Compared to women without fecal/flatal incontinence, women with fecal incontinence were more likely to report low sexual desire (OR:1.41 [CI:1.10–1.82]), low sexual satisfaction (OR:1.56 [CI:1.14–2.12]), and limitation of sexual activity by physical health (OR:1.65 [CI:1.19–2.28]) after adjustment for confounders. Among sexually active women, women with fecal incontinence were more likely than women without fecal/flatal incontinence to report difficulties with lubrication (OR:2.66 [CI:1.76–4.00]), pain (OR:2.44 [CI:1.52–3.91]), and orgasm (OR:1.68 [CI:1.12–2.51]). Women with isolated flatal incontinence reported similar sexual functioning to women without fecal/flatal incontinence. Limitations Cross-sectional design prevented evaluation of causality. Conclusions While most women with anal incontinence are sexually active, those with fecal incontinence are at high risk for several aspects of sexual dysfunction. This indicates that sexual function is important to women with anal incontinence and should be prioritized during therapeutic management.

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“…In Spanish women attending an urodynamic unit with symptoms of UI, 8.7% presented symptoms of anal incontinence9 by contrast, among women consulting for anal incontinence in the USA, almost half of them reported UI 10…”

Section: Introductionmentioning

confidence: 99%