What are the patient’s understanding about fecal and urinary incontinence management?

López-Fando Lavalle L1, Senra I2, Galindo I3, Sánchez Gallego M4, Gómez del Cañizo C5, Hernández Pailos R6, Carracedo Calvo D7

Research Type

Clinical

Abstract Category

Prevention and Public Health

Abstract 488
On Demand Prevention and Public Health
Scientific Open Discussion Session 31
On-Demand
Anal Incontinence Conservative Treatment Urgency Urinary Incontinence Stress Urinary Incontinence New Devices
1. Hospital Universitario La Princesa. Clínica UROLF, 2. Hospital Universitario Henares, 3. Hospital Clínico San Carlos. Clínica UROLF, 4. Hospital Universitario Infanta Sofía. Clínica UROLF, 5. Hospital Universitario 12 Octubre. Clínica UROLF, 6. Hospital Universitario Mancha Centro. Clínica UROLF, 7. Hospital Universitario Rey Juan Carlos. Clínica UROLF
Presenter
Links

Abstract

Hypothesis / aims of study
Combined fecal and urinary incontinence is not uncommon and its pathophysiology involves multiple factors. These patients should be evaluated by a multidisciplinary group of specialists and should be offered appropriate measures to improve their quality of life.

The main objective is to analyze the level of knowledge of the population about Urinary and fecal incontinence management.  The secondary objective is to educate and inform the population about UI through the answers to the questions posed in the form.
Study design, materials and methods
An online survey was performed to evaluate the knowledge of fecal and urinary incontinence in general population. 
A cross-sectional study was developed. All the cases were recruited in people who responded to an online survey posted on a web based on Functional Urology . 
The statistical analysis was performed with SPSS 21.0® software. The qualitative variables were expressed by percentages and frequencies, the quantitative variables by means and standard deviation or median and range in case of not presenting normal distribution.
Results
The online survey was posted on a website based on Functional Urology, and on social media to enhance the impact. 
The results were obtained from  4286 sessions initiated on the website dedicated to functional urology . 2518 start the survey and 1000 finally answered the total survey. 
Mean time to fill the complete survey 6 min 27 sec. 
Table 1 summarizes the population baseline characteristics of the online survey. The majority of the respondents are women, between 50 and 70 years old, located throughout the entire territory. 
Table 2 shows the results of the online questionnaire to assess the population's knowledge about the management of urinary and fecal incontinence.
Interpretation of results
There is a considerable variation in knowledge about urinary incontinence management, however this is also much significant concercing fecal incontinence. 
Regarding the responses obtained, we can affirm that the majority of those surveyed do have basic knowledge about Urinary Incontinence. Most respondents know that incontinence affects not only women, almost all respondents know that there is a solution to the problem and are aware of some of the possible measures or treatment alternatives in addition to
surgery.
Regarding Fecal Incontinence, although the majority of respondents are aware that there are alternative treatments to surgery or absorbent diapers, there is less knowledge (or further misinformation) about some specific measures, such as transanal irrigation systems.
Concluding message
1. The participation of women in the questionnaire has been majority compared to men. The use of Internet  tools can influence this significant difference. 
2. Knowledge of the treatment of urinary incontinence is far superior to that of fecal incontinence. 
3. There is some heterogeneity regarding the knowledge of some conservative measures to improve urinary and fecal incontinence.
Figure 1
Figure 2
Disclosures
Funding Coloplast Clinical Trial No Subjects Human Ethics Committee CEIm Hospital Ramón y Cajal. Madrid Helsinki Yes Informed Consent Yes
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