Presentation Authors: Sophia Goodridge*, Nashville, TN, Casey Kowalik, Lawrence , KS, Siobhan Hartigan, Melissa Kaufman, Roger Dmochowski, Stuart Reynolds, Nashville, TN
Introduction: The psychosocial impact of bowel symptoms in the pediatric population has been well described in the literature. In contrast, sparse information is available regarding the impact of bowel dysfunction on adultsocial behavior. Herein we aim to identify potential bowel symptoms which may impact adult psychosocial behavior.
Methods: This was an IRB approved, cohort study surveying women >/=18 years of age regarding their bowel habits and medical history. The ICIQ_FLUTS and ICIQ_B was used to assess bowel and bladder function. We excluded participants with prior colectomy, cystectomy or diagnosis of neurologic conditions, interstitial cystitis, inflammatory bowel syndrome or inflammatory bowel disease. Bowel dysfunction was defined as having a bowel movement >2 times per day and/or experiencing involuntary bowel leakage. The Pearson Chi squared test was used to measure the association.
Results: There were 4789 participants who met inclusion criteria. Of these participants, 2661 (55.6%) reported at least one episode of bowel leakage over the past three months. Twenty-nine respondents reported staying at home more often than they would like â€œmost of the time to alwaysâ€ due to their bowel symptoms. Staying at home due to bowel symptoms was not significantly associated with urinary frequency (p= .211) or bowel frequency (p=0.072). Unpredictable bowel leakage experienced â€œsometime to alwaysâ€ and inability to control loss of stool, loose or solid, were associated with patients staying at home due to bowel symptoms (p < 0.0001). Depression was positively associated in patients who reported >1 episode of bowel leakage (p < 0.001). Anxiety was not found to be statistically significantly associated with bowel leakage (p=.348).
Conclusions: Bowel dysfunction outside of a known medical diagnosis is prevalent at rates that are higher than appreciated. Patients experiencing uncontrollable bowel leakage limit their social engagements and report higher rates of depression than those who do not experience bowel leakage. This information is critical for clinicians responsible for the care of patients with voiding dysfunction to provide comprehensive pelvic floor care.
Source of Funding: This work was supported by the Office of Medical Student Research at Vanderbilt University School of Medicine and through the Vanderbilt Institute for Clinical and Translational Research by Clinical Translational Science Award number UL1 TR002243 from the