2020
DOI: 10.1002/nau.24508
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An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas

Abstract: Introduction The terminology for female pelvic floor fistulas (PFF) needs to be defined and organized in a clinically based consensus Report. Methods This Report combines the input of members of the International Continence Society (ICS) assisted at intervals by external referees. Appropriate core clinical categories and a sub‐classification were developed to give a coding to definitions. An extensive process of 19 rounds of internal and external review was involved to examine each definition, with decision‐ma… Show more

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Cited by 23 publications
(15 citation statements)
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References 64 publications
(628 reference statements)
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“…In these lowresource areas, the perineal tears are not sutured and heal by secondary intention. The fusion of the torn edges of the vagina and anorectal tissues results in a total perineal defect [7] with absent perineal body and complete separation of the anal sphincters. Apart from the effects on anal continence, unrepaired fourth-degree tears have been shown to cause social stigmatization and abandonment of these women by their husbands and families [15] and mental health dysfunction [16].…”
Section: Discussionmentioning
confidence: 99%
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“…In these lowresource areas, the perineal tears are not sutured and heal by secondary intention. The fusion of the torn edges of the vagina and anorectal tissues results in a total perineal defect [7] with absent perineal body and complete separation of the anal sphincters. Apart from the effects on anal continence, unrepaired fourth-degree tears have been shown to cause social stigmatization and abandonment of these women by their husbands and families [15] and mental health dysfunction [16].…”
Section: Discussionmentioning
confidence: 99%
“…All women with an unrepaired fourth-degree obstetric perineal tear (total perineal defect) [7] (Fig. 1) were invited to participate in the study and were assessed in the outpatient clinic.…”
Section: Methodsmentioning
confidence: 99%
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“…Pelvic fistula is among the most severe maternal morbidities. It is an atypical connection between the upper or lower genital tract and adjacent upper or lower urinary tract and/or Accepted Article lower gastrointestinal tract [9]. It results in the uncontrolled passage of urine and/or feces and often leads to severe physical, psychological and economic consequences.…”
Section: Introductionmentioning
confidence: 99%
“…Vesicovaginal fistula (VVaF) is an abnormal connection between the vagina and the bladder that conditions a constant flow of urine into the vagina. Following the recent International Continence Society (ICS) report on the terminology for female pelvic floor fistulas, it affects both the anterior vaginal wall and the posterior bladder wall with or without involvement of the ureteric orifices (1).…”
Section: Introductionmentioning
confidence: 99%