Introduction

Double incontinence (DI) is the concomitant presence of urinary and anal incontinence in the same subject. This condition is widely underreported due to social stigma and embarrassment. In fact, women who suffer from both diseases have greater impairment regarding their physical and psychosocial well-being than do women suffering from isolated urinary incontinence (UI) or fecal incontinence (FI) [1], resulting in social isolation and reduced quality of life [2]. Few studies have evaluated the prevalence of DI. The different results of these studies depend on the method utilized for data collection and on the demographic features of the study population. Table 1 shows the prevalence of DI reported by various authors [3-9].

A significant association between urinary and anal incontinence was found in patients with pelvic floor disorders [adjusted odds ratio (OR) 4.6; 95% confidence interval (CI) 1.9-11.2] [10]. Particularly, this association was found in women with concomitant UI and pelvic organ prolapse (POP) who have a higher incidence of anal incontinence (OR 2.72; 95% CI 1.2-6.1) with respect to patients with UI or POP only [11]. A recent paper found that FI is associated with UI but not with POP [12]. Roberts et al. [6], in a cross-sectional, community-base study, found a 9.4% incidence of DI. Jackson et al. [13] reported 9% of subjects with both symptoms in their study. Other authors found the prevalence of FI in women with UI ranged from 26% to 35% [14, 15]. Lacima et al. [16] reported 80% of stress urinary incontinence (SUI) in women with FI. MacLennan et al. [17] compared the risk of UI and FI in women and men. They showed that for women the risk is 11.7 and 1.6 times greater, respectively, than for men.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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