Anal incontinence and quality of life following obstetric anal sphincter injury

2011 ◽  
Vol 285 (3) ◽  
pp. 591-597 ◽  
Author(s):  
Ranitha Kumar
Keyword(s):  
Quality Of Life ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

scholarly journals Does a missed obstetric anal sphincter injury at time of delivery affect short-term functional outcome?

2018 ◽  
Vol 100 (1) ◽  
pp. 26-32 ◽  
Author(s):  
L Ramage ◽  
C Yen ◽  
S Qiu ◽  
C Simillis ◽  
C Kontovounisios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anal Sphincter ◽  
Short Form ◽  
Primary Repair ◽  
Obstetric Anal Sphincter Injury ◽  
Short Term ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

Introduction This study aimed to ascertain whether missed obstetric anal sphincter injury at delivery had worse functional and quality of life outcomes than primary repair immediately following delivery. Materials and methods Two to one propensity matching was undertaken of patients presenting to a tertiary pelvic floor unit with ultrasound evidence of missed obstetric anal sphincter injury within 24 months of delivery with patients who underwent primary repair at the time of delivery by parity, grade of injury and time to assessment. Outcomes compared included Birmingham Bowel, Bladder and Urinary Symptom Questionnaire (BBUSQ), Wexner Incontinence Score, Short Form-36, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire and anorectal physiology results. Results Thirty-two missed anal sphincter injuries were matched two to one with sixty-two patients who underwent primary repair of an anal sphincter defect. Mean time to follow-up was 9.31 ± 6.79 months. Patients with a missed anal sphincter injury had suffered more incontinence, as seen in higher the Birmingham Bowel, Bladder and Urinary Symptom Questionnaire (BBUSQ; 30.56% ± 14.41% vs. 19.75% ± 15.65%, P = 0.002) and Wexner scores (6.00 ± 3.76 vs. 3.67 ± 4.06, P = 0.009). They also had a worse BBUSQ urinary domain score (28.25% ± 14.9% vs. 17.01 ± 13.87%, P = 0.001) and worse physical functioning as measured by the Short Form-36 questionnaire (P = 0.045). There were no differences in other outcomes compared, including anorectal physiology and sexual function. Discussion In the short-term, patients with a missed obstetric anal sphincter injury had significantly worse faecal incontinence and urinary function scores, however quality of life and sexual function were largely comparable between groups. Conclusions Longer-term follow-up is needed to assess the effects of missed obstetric anal sphincter injury over time.

Wexner score and quality of life in women with obstetric anal sphincter injury

2019 ◽  
Vol 31 (6) ◽  
pp. 1115-1121 ◽  
Author(s):  
Hanna Jangö ◽  
Jens Langhoff-Roos ◽  
Susanne Rosthøj ◽  
Abelone Sakse
Keyword(s):  
Quality Of Life ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Wexner Score ◽  
Anal Sphincter Injury

scholarly journals Functional and quality of life outcomes following obstetric anal sphincter injury (OASI): does the grade of injury affect outcomes?

2017 ◽  
Vol 28 (11) ◽  
pp. 1709-1717 ◽  
Author(s):  
Lisa Ramage ◽  
Clarence Yen ◽  
Shengyang Qiu ◽  
Constantinos Simillis ◽  
Christos Kontovounisios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Life Outcomes ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Quality Of Life Outcomes

Impact of Pelvic Floor Physical Therapy on Quality of Life and Function After Obstetric Anal Sphincter Injury

2016 ◽  
Vol 22 (4) ◽  
pp. 205-213 ◽  
Author(s):  
Susan H. Oakley ◽  
Vivian C. Ghodsi ◽  
Catrina C. Crisp ◽  
Maria Victoria Estanol ◽  
Lauren B. Westermann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Pelvic Floor Physical Therapy ◽  
Anal Sphincter Injury ◽  
And Function
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