ÜRİNER İNKONTİNANSI OLAN KADIN HASTALARDA GAZ-GAİTA İNKONTİNANSININ İNCELENMESİ

AMAÇ: Üriner inkontinansı olan bayanlarda gaz-gaita inkontinansının birlikteliğini arastırmak ve gaz-gaita inkontinansı için risk faktörlerini belirlemektir. GEREÇ VE YÖNTEM: Eylül 2002-Eylül 2007 tarihleri arasında üriner inkontinans sikayetiyle Gazi Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı’ na basvuran 792 bayan hastanın dosyası incelendi ve bunlardan 741 hasta çalısma kapsamına alındı. Üriner inkontinansı olan bu hastalarda, gaz-gaita inkontinansı oranı belirlenip gaz-gaita inkontinansı olanlar (Grup 2) ile olmayanlar (Grup 1) arasındaki parametreler karsılastırıldı. BULGULAR: Hastaların ortalama yasları Grup 2’de 51.4 ± 13.4 (27-80), Grup 1’de 50.0 ± 12.8 (18-90) yıl idi (p=0.904). Gruplar arasında VKĐ, doğum sayısı, postmenopozal süre açısından istatistiksel olarak anlamlı fark yoktu (sırasıyla p=0.164, p=0.993, p=0.179). Postmenopozal sendrom varlığı Grup 2’de % 56 (23), Grup 1’de % 32 (225) (p=0.002); zor doğum hikayesi Grup 2’de % 58 (24), Grup 1’de % 32 (230) (p=0.001); konstipasyon Grup 2’de % 53.7 (22), Grup 1’de % 34.4 (241) (p=0.012); geçirilmis pelvik cerrahi öyküsü Grup 2’de % % 43.9 (18), Grup 1’de % 15.3 (107) (p=0.000); gruplar arasında nörolojik hastalık, diabet, sistosel, rektosel ve sigara kullanımı açısından istatiksel olarak anlamlı fark bulunmamıstır (sırasıyla p=0.244, p=0.700, p=0.494, p=0.325, p=0.189). SONUÇ: Üriner inkontinansı olan bayanlarda; gaz-gaita inkontinansı sıklığının % 5 olduğu ve bu durum için geçirilmis pelvik cerrahi, postmenopozal sendrom varlığı, konstipasyon ve zor doğum hikayesinin belirgin bir risk olusturduğu; postmopozal süre, vücut kitle indeksi, sigara kullanımı, sistosel, rektosel ve vajinal doğumun ise bir risk teskil etmediği tespit edilmistir.SUBJECT: To investigate the co-occurrence of gas/fecal incontinence in female patients having urinary incontinence, and to determine risk factors for gas/fecal incontinence. MATERIAL AND METHODS: : Medical records of 792 female patients applying to the Gazi University Department of Urology with a complaint of urinary incontinence in the period September 2002 - September 2007 were examined, and from these, 741 patients were included in the study. In these patients having urinary incontinence, the proportion having gas/fecal incontinence was determined, and parameters were compared across those with gas/fecal incontinence (Group 2) and those without gas/fecal incontinence (Group 1). RESULTS: The patients\' mean age in Group 2 was 51.4 ± 13.4 (27-80), and in Group 1 it was 50.0 ± 12.8 (18-90) years (p=0.904). Between the groups, there were no statistical differences in terms of BMI, number of births, or time since menopause (p=0.164, p=0.993, p=0.179 respectively). Postmenopausal symptoms in Group 2 occurred in 23 patients (56%), and in Group 1 in 225 patients (32%), (p=0.002); a history of difficult birth was present in Group 2 in 24 patients (58%), and in Group 1 in 230 patients (32%), (p=0.001); constipation in Group 2 occurred in 22 patients (53.7%) and in Group 1 in 241 patients (34.4%), (p=0.012); a history of pelvic surgery was present in Group 2 in 18 patients (43.9%) and in Group 1 in 107 patients (15.3%), (p=0.000); neurologic disease was present in Group 2 in 6 patients (14.6%), and in Group 1 in 64 patients (9.1%), (p=0.244); DM was present in Group 2 in 6 patients (14.6%) and in Group 1 in 88 patients (12.6%), (p=0.700); cystocele was present in Group 2 in 6 patients (18.2%) and in Group 1 in 144 patients (23%), (p=0.494); rectocele was present in Group 2 in 7 patients (21.2%) and in Group 1 in 72 patients (14.8%), (p=0.325); cigarette use was present in Group 2 in 10 patients (24.4%) and in Group 1 in 115 patients (16.4%), (p=0.189). CONCLUSION: Among women having urinary in continence, 5% also had gas/fecal Incontinence, and risk factors for this situation were previous pelvic surgery, postmenopausal symptoms, constipation and a history of difficult birth; time since menopause, body mass index, cigarette use, cystocele, rectocele and vaginal birth were not found to be risk factors