Abstract
To evaluate prevalence and risk factors of fecal and urinary incontinence (UI) in Brazilian women. 685 women older than 20 years of age answered a questionnaire about urinary and fecal symptoms, clinical and obstetric antecedents. They were grouped according to presence or absence of UI. Urinary and fecal incontinence was reported in 27% and 2% of cases, respectively. Mean age of incontinent women was significantly higher than continent ones. Incontinent women had a mean number of micturitions significantly higher than the continent ones. On average, incontinent women had higher rate of pregnancies and vaginal delivery when compared to the continent ones. Body mass index (BMI) was significantly higher in incontinent participants and in women with no UI complaints (27.35 vs. 24.95, p < 0.05). Fecal incontinence prevalence was 2% and occurred exclusively in patients with UI. Vaginal delivery and high BMI have been identified as risk factors for UI development while aging and number of pregnancies may be correlated factors.
Highlights
The study of prevalence and risk factors of urinary and fecal incontinence in women is very important to establish preventive strategies
urinary incontinence (UI) prevalence was 27%, and 15% of the incontinent women had urine loss at minimum stress; urgency was associated with 58% of cases
Among the women with UI, 36% reported the use of 2.7 pads per day, on average
Summary
The study of prevalence and risk factors of urinary and fecal incontinence in women is very important to establish preventive strategies. UI is a worldwide public health problem that affects thousands of women, and causes serious socio-economic impact. It can influence quality of life [1,2] or lead to isolation and depression [3]. The prevalence of fecal and urinary incontinence in women has been studied around the world. This study aimed to determine fecal and UI prevalence and risk factors to develop UI in women who lived in Botucatu, an averaged-size Brazilian town, whose population represents a Brazilian ethnic composition
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