E-Posters-10197

10197_Meyer

Pdf Summary

This study aimed to compare the characteristics, symptom distress, quality of life, clinical characteristics, and diagnostic testing results between older and younger women seeking care for fecal incontinence (FI). The study included 879 women undergoing evaluation for FI from 2003 to 2016 at the Genito-Rectal Disorder Clinic at the University of Alabama at Birmingham. The women completed validated questionnaires and underwent objective diagnostic testing. <br /><br />The results showed that while the symptom severity (measured by Fecal Incontinence Severity Index) did not differ between the age groups, younger women had a greater negative impact on their quality of life (measured by Modified Manchester Health Questionnaire). Specifically, younger women had higher scores in relationship and emotion factors. <br /><br />Other findings include differences in baseline demographics between the two age groups. Older women were more likely to be white, have diabetes, hypertension, obesity, concurrent urinary incontinence, prior anal sphincter surgery, and prior hysterectomy. Younger women had higher rates of external and internal sphincter defects. <br /><br />Further analysis showed that older women had lower scores in SF-12 physical subscale, lower resting pressures on anorectal manometry, and a lower rate of obesity. Squeeze pressures and rates of fecal urgency and liquid stool FI did not differ between the age groups. <br /><br />The study suggests that there may be differences in the etiology and impact of FI between older and younger women. These findings may be useful for patient counseling and the development of personalized management algorithms for women with FI. However, it is important to note that this was a retrospective analysis and the study population consisted of women seeking care at a tertiary center. Obstetric and delivery information was also not included in the analysis.

Keywords

symptom distress

quality of life

clinical characteristics

older women

younger women

fecal incontinence

symptom severity

relationship factors

emotion factors

baseline demographics