PMID: 15374048Sep 18, 2004Paper

The association of fecal impaction and urinary retention in elderly nursing home patients

Archives of Gerontology and Geriatrics
P StarerG Dumapit

Abstract

The objective of this study was to examine the association of fecal impaction and urinary retention in an elderly nursing home population. Two-hundred and three nursing home patients with urinary dysfunction (77% female, median age: 85 years (range: 61-104)) underwent an evaluation which included rectal examination, measurement of residual urine, and cystometric studies. Bivariate analyses indicated that fecal impaction was not associated with urinary retention. However, dependency in transfer was directly associated with fecal impaction (OR=2.91; P=0.004), and with urinary retention (OR=3.13; P=0.017). There was no association between detrusor underactivity and fecal impaction. When urinary retention and fecal impaction occurred in the same patient, detrusor overactivity was the most common cystometric finding. Rather than implicating an anatomic or neurologic link between poor bladder emptying and poor bowel emptying, a third factor (e.g. immobility) causing both urinary retention and fecal impaction should be sought.

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Citations

Oct 26, 2010·International Urogynecology Journal·Sohier Elneil
Jan 13, 2016·BMC Geriatrics·Blanca Serrano FalcónEnrique Rey
Jan 25, 2006·BJU International·Rajesh B C KaviaClare J Fowler
Jan 3, 2007·Journal of the American Geriatrics Society·John A Taylor, George A Kuchel
Jun 1, 2010·International Journal of Psychology : Journal International De Psychologie·Recep Ali ÖzdemirF Hülya Aşçı
Oct 24, 2013·Physiotherapy Theory and Practice·Wagner Rodrigues MartinsRicardo Jacó de Oliveira
Dec 17, 2015·Journal of Clinical Gastroenterology·Caroline CorbanAnthony Lembo
Sep 14, 2017·Case Reports in Emergency Medicine·Kylen SwartzbergAbdullah E Laher
Dec 8, 2020·Annals of Physical and Rehabilitation Medicine·Maëlys TengRebecca Haddad

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