Clinical symptoms after anal sphincter rupture: a retrospective study

Wagenius, Johanna; Laurin, Jan

doi:10.1080/j.1600-0412.2003.00088.x

Cited by 20 publications

(40 citation statements)

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“…Urinary symptoms were reported in up to 31% [16] with a high incidence of urge urinary incontinence [12], but a validated questionnaire was not used [12,16] nor did they compare their findings to women without OASIS [16]. Longer term urinary symptoms after OASIS have been evaluated in three studies [15,17,19]. In a retrospective study using a non-validated questionnaire, Wagenius and Laurin [15] reported no difference in urinary symptoms 4 years after OASIS compared to a control group.…”

Section: Discussionmentioning

confidence: 99%

“…Longer term urinary symptoms after OASIS have been evaluated in three studies [15,17,19]. In a retrospective study using a non-validated questionnaire, Wagenius and Laurin [15] reported no difference in urinary symptoms 4 years after OASIS compared to a control group. The prevalence of urinary incontinence was 13% for OASIS and 9% for controls.…”

Section: Discussionmentioning

confidence: 99%

“…Urinary incontinence after OASIS has been reported in 13-46% [15][16][17][18]. However, long term follow-up of women with OASIS reveals conflicting results.…”

Section: Introductionmentioning

confidence: 94%

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Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?

et al. 2007

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This study aimed to compare urinary symptoms and its impact on women's quality of life after obstetric anal sphincter injuries (OASIS) with a matched control group in the short term. The study group consisted of 100 primiparous women with OASIS and 104 controls who sustained a second-degree tear or had a mediolateral episiotomy performed. All women completed a validated International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) questionnaire 10 weeks after delivery. Compared to controls, significantly more women with OASIS reported overall urinary incontinence (21.2 vs 38%, p = 0.005) and had significantly worse quality of life score (incontinence score: 2.42 vs 1.2; p = 0.008). Significantly more women with OASIS suffered from stress urinary incontinence (33 vs 14%; p = 0.002; OR 3.06; CI = 1.54-6.07) than controls. Logistic regression analysis revealed that OASIS and a prolonged (>50 min) second stage of labour were independent risk factors for the development of stress urinary incontinence. This study highlights the importance of inquiring about urinary incontinence in women with OASIS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?

et al. 2007

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“…1–6 Studies have shown factors such as maternal age, nulliparity, operative vaginal delivery, episiotomy, persistent occiput posterior position, and increasing birth weight are associated with severe perineal lacerations during vaginal delivery. 7–11 Some studies have suggested that race may also play a role in the risk for severe perineal lacerations.…”

mentioning

confidence: 99%

Perineal Body Length Among Different Racial Groups in the First Stage of Labor

Tsai

Oyama²,

Hiraoka³

et al. 2012

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Objective Anatomic differences among racial groups may contribute to observed differences in the occurrence of severe perineal lacerations at the time of vaginal delivery. The purpose of this study was to identify differences in perineal body length between racial groups. Methods Perineal body length was measured in primigravid women aged 18 to 45 years who were admitted in labor. Women were classified into 1 of 6 racial groups: White, Filipino, Japanese, Chinese, Native Hawaiian, or Micronesian. The primary outcome, perineal body length, was compared using analysis of variance. Results A total of 200 women were recruited. There were no significant differences in perineal body length (P = 0.42) and severe perineal lacerations (P = 0.82) between the different racial groups. The mean (SD) perineal body length of women who had a severe laceration was 3.9 (0.5) versus 3.9 (0.6) cm in women who did not have a severe laceration (P = 0.98). Conclusion Perineal body length does not seem to differ among the different racial groups studied and therefore an unlikely cause of racial variation in rates of severe perineal lacerations.

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“…In a study examining clinical symptoms after anal sphincter rupture, Waegenius and Laurin examined 218 women with third and fourth degree tears and 438 matched controls [51]. They found that women with anal sphincter rupture had a significantly higher risk of dyspareunia (14% vs. 6%), incontinence of liquid stool (21% vs. 7%) and incontinence of flatus (33% vs. 15%).…”

Section: Sphincter Rupture and Repairmentioning

confidence: 99%

Fecal incontinence: a review of prevalence and obstetric risk factors

et al. 2005

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Anal incontinence (AI) is a significant problem that causes social and hygienic inconvenience. The true prevalence of AI is difficult to estimate due to inconsistencies in research methods, but larger studies suggest a rate of 2-6% for incontinence to stool. There is a significant association between sonographically detected anal sphincter defects and symptoms of AI. The intrapartum factors most consistently associated with a higher risk of AI include: forceps delivery, third or fourth degree tears, and length of the second stage of labor. Fetal weight of > 4,000 g is also associated with AI. Repair of the sphincter can be performed in either an overlapping or an end-to-end fashion, with similar results for both methods. The role of cesarean delivery for the prevention of AI remains unclear, and further study should be devoted to this question.

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Clinical symptoms after anal sphincter rupture: a retrospective study

Cited by 20 publications

References 0 publications

Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?

Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?

Perineal Body Length Among Different Racial Groups in the First Stage of Labor

Fecal incontinence: a review of prevalence and obstetric risk factors

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