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

Scheer, Inka; Andrews, Vasanth; Thakar, Ranee; Sultan, Abdul H.

doi:10.1007/s00192-007-0431-8

Cited by 45 publications

(29 citation statements)

References 30 publications

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“…The results of this study suggested that women with anal sphincter disruption had a slightly increased risk of fecal incontinence with no impact on urinary or sexual symptoms and mental or physical health [11]. In contrast, other authors reported a higher incidence of urinary symptoms [12,13] and sexual dysfunction [5,7,14,15] after anal sphincter tear.…”

Section: Introductionmentioning

confidence: 55%

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

et al. 2011

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Introduction and hypothesis This study aims to estimate fecal, urinary incontinence, and sexual function 6 years after an obstetrical anal sphincter tear. Methods Among 13,213 women who had a vaginal delivery of a cephalic singleton at term, 196 women sustained an anal sphincter tear. They were matched to 588 controls. Validated questionnaires grading fecal and urinary incontinence, and sexual dysfunction were completed by the participants. Results Severe fecal incontinence was more frequently reported by women who had sustained an anal sphincter tear compared to the controls. Women with an anal sphincter tear had no increased risk of urinary incontinence, but reported significantly more pain, difficulty with vaginal lubrication, and difficulty achieving orgasm compared to the controls. A fetal occiput posterior position during childbirth was an independent risk factor for both severe urinary incontinence and severe sexual dysfunction. Conclusions Fecal incontinence is strongly associated with an anal sphincter tear. A fetal occiput posterior position represents a risk factor for urinary incontinence and sexual dysfunction.

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Section: Introductionmentioning

confidence: 55%

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

et al. 2011

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“…It is well-established that the prevalence of UI varies greatly depending on study group, definitions and methods used [22]. The prevalence of urinary incontinence during pregnancy is reported to be as high as 44% and between 7% and 34% [22] after delivery.…”

Section: Discussionmentioning

confidence: 99%

A questionnaire on pelvic floor dysfunction postpartum

et al. 2010

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Introduction and hypothesisThe incidence of obstetric anal sphincter injuries is used in Sweden as a measurement of quality of care and this might influence the reporting. However, the correlation between reported diagnosis of pelvic floor injury at delivery and pelvic floor symptoms a year later is unknown. A questionnaire could identify such symptoms and provide beneficial feedback to obstetrical practices.MethodsWe made a cross-sectional study by sending out a questionnaire about pelvic floor dysfunction to 599 women depending on reported injury at delivery. The answers provided by the groups were then compared.ResultsThe questionnaire identified women with pelvic floor dysfunction. Anal incontinence was most common among women with obstetric anal sphincter injuries but also occurred among women delivered vaginally without known tears.ConclusionWe suggest that a questionnaire is used 12–18 months after delivery to establish the short-time outcome in terms of pelvic floor dysfunction.

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“…Overall, we identified 25 studies investigating the impact of obstetric factors on UI after childbirth: 10 cross-sectional studies [35,36,37,38,39,40,41,42,43,44]; 11 cohort studies [45,46,47,48,49,50,51,52,53,54,55]; 3 case-control studies [56,57,58], and 1 quasi-RCT [34]. Perineal tears [41] and episiotomy [34] do not seem to negatively affect urinary continence status at 1 and 4 years [34,41] post partum, respectively.…”

Section: Resultsmentioning

confidence: 99%

Prevalence, Incidence and Obstetric Factors’ Impact on Female Urinary Incontinence in Europe: A Systematic Review

et al. 2012

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Objectives: A systematic review of the published data on the prevalence, incidence and risk factors of female urinary incontinence (UI) and obstetric treatment of UI in Europe. Data Sources: Epidemiologic studies were sought via PubMed to identify articles published in English, French, Spanish, German and Italian between 2000 and September 30, 2010, in Europe. Results: The prevalence of UI ranged from 14.1 to 68.8% and increased with increasing age. Significant risk factors for UI in pregnancy were maternal age ≥35 years and initial body mass index, a family history of UI and parity. UI in women who delivered ‘at term’ ranged from 26 to 40.2%, with a remission rate of 3 months after childbirth of up to 86.4%. Pelvic floor muscle training may help to prevent postpartum UI in primiparous women without UI during pregnancy. Conclusion: UI definition, outcome measures, survey methods and validation criteria are still heterogeneous, and thus it is difficult to compare data and impossible to draw definite conclusions.

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

Cited by 45 publications

References 30 publications

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

A questionnaire on pelvic floor dysfunction postpartum

Prevalence, Incidence and Obstetric Factors’ Impact on Female Urinary Incontinence in Europe: A Systematic Review

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