The Association Between Parity and Fecal Problems Differs by Urinary Status
Urogynecology (Phila). 2025 Jun 1;31(6):574-582. doi: 10.1097/SPV.0000000000001524.
ABSTRACT
IMPORTANCE: Urinary incontinence, fecal incontinence, and constipation frequently manifest and are risk factors for one another. Studies investigating the association between parity and fecal problems in urinary continent and urinary incontinent women are lacking.
OBJECTIVES: The aim of this study was to examine whether the association between parity and fecal problems differs in urinary continent and urinary incontinent women.
STUDY DESIGN: This study was a cross-sectional, retrospective questionnaire-based study. The population was a representation of the general Dutch female population (n = 5,670), including nulliparous (n = 2,790) and parous women (n = 2,880). Data were collected using the Groningen Defecation and Fecal Continence questionnaire, addressing urinary and fecal problems according to validated criteria. Parametric test, χ2 test, Fisher exact test, and univariable and multivariable logistic regression analyses were used.
RESULTS: Of the urinary incontinent women, 13.7% nulliparous and 6.3% parous women reported a combination of fecal incontinence with constipation. This made urinary incontinent nulliparous women 1.90 times more prone to have both fecal incontinence and constipation (P < 0.001), especially nulliparous women with stress urinary incontinence (odds ratio, 2.76; 95% confidence interval, 1.44-5.31; P = 0.002). In the urinary continent women, nulliparous women reported significantly more often fecal incontinence as a solitary problem than parous women (4.3% vs 2.5%; P = 0.016; odds ratio, 1.73; 95% confidence interval, 1.06-2.81; P = 0.028).
CONCLUSIONS: The association between parity and fecal problems is different in urinary continent and incontinent women. In urinary incontinent women, especially with stress urinary incontinence, nulliparous women experience more often the coexistence of fecal incontinence and constipation than parous women. In urinary continent women, nulliparous women had more frequently a solitary problem of fecal incontinence than parous women.
Suicide Life Threat Behav. 2025 Jun;55(3):e70023. doi: 10.1111/sltb.70023.ABSTRACTBACKGROUND: Few studies investigate cause-specific mortality in individuals with tic disorders. We aimed to examine all-cause, natural-cause, and...
Suicide Life Threat Behav. 2025 Jun;55(3):e70027. doi: 10.1111/sltb.70027.ABSTRACTINTRODUCTION: Suicide ideation (SI) may provide relief from negative affect (NA), thereby making future SI more likely through...
Suicide Life Threat Behav. 2025 Jun;55(3):e70021. doi: 10.1111/sltb.70021.ABSTRACTBACKGROUND: Crisis Stabilization Centers (CSCs) are a critical component of the crisis response system and the 988 Lifeline...
Environ Health (Wash). 2025 Feb 17;3(5):560-570. doi: 10.1021/envhealth.4c00153. eCollection 2025 May 16.ABSTRACTSuicide is a critical public health issue with rates varying across regions and demographic...
Dev Psychopathol. 2025 May 22:1-10. doi: 10.1017/S0954579425000355. Online ahead of print.ABSTRACTAdolescents who experience bereavement following suicide are at increased risk for adverse outcomes, including depression....
Palliat Support Care. 2025 May 22;23:e105. doi: 10.1017/S1478951525000501.ABSTRACTOBJECTIVES: Caregivers play a significant role in the process of Voluntary Assisted Dying (VAD), reporting stances of support,...
