Long-term function and morphology of the anal sphincters and the pelvic floor after primary repair of obstetric anal sphincter injury

2014 ◽  
Vol 16 (10) ◽  
pp. O347-O355 ◽  
Author(s):  
M. M. Soerensen ◽  
B. G. Pedersen ◽  
G. A. Santoro ◽  
S. Buntzen ◽  
K. Bek ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Anal Sphincter ◽  
Primary Repair ◽  
Obstetric Anal Sphincter Injury ◽  
Anal Sphincters ◽  
Sphincter Injury ◽  
Term Function ◽  
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.

Factors predicting a failed primary repair of obstetric anal sphincter injury

2016 ◽  
Vol 95 (9) ◽  
pp. 1063-1069 ◽  
Author(s):  
Jaan Kirss ◽  
Tarja Pinta ◽  
Camilla Böckelman ◽  
Mikael Victorzon
Keyword(s):  
Anal Sphincter ◽  
Primary Repair ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

scholarly journals OP34.05: Obstetric anal sphincter injury-how does a subsequent delivery affect long term outcome?

2011 ◽  
Vol 38 (S1) ◽  
pp. 153-153 ◽  
Author(s):  
V. H. Eisenberg ◽  
S. Brecher ◽  
I. Yodfat ◽  
G. Bitman ◽  
R. Achiron ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Anal Sphincter Injury

Medium- to Long-term Follow-up of Obstetric Anal Sphincter Injury

2019 ◽  
Vol 62 (3) ◽  
pp. 348-356 ◽  
Author(s):  
Friyan D. Turel ◽  
Susan Langer ◽  
Ka Lai Shek ◽  
Hans Peter Dietz
Keyword(s):  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Long Term Follow Up

scholarly journals Mode of delivery after obstetric anal sphincter injury and the risk of long-term anal incontinence

2016 ◽  
Vol 214 (6) ◽  
pp. 733.e1-733.e13 ◽  
Author(s):  
Hanna Jangö ◽  
Jens Langhoff-Roos ◽  
Susanne Rosthøj ◽  
Abelone Sakse
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Mode Of Delivery ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

Pregnancy and childbirth

2020 ◽  
pp. 137-145
Author(s):  
Helen Jefferis ◽  
Natalia Price
Keyword(s):  
Risk Factors ◽  
Pelvic Floor ◽  
Urinary Retention ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Physiological Changes ◽  
Sphincter Injury ◽  
Pregnancy And Childbirth ◽  
Anal Sphincter Injury ◽  
Postpartum Urinary Retention

This chapter covers the normal physiological changes to the renal tract, bladder, and pelvic floor that is associated with pregnancy. It then explains perineal trauma and its classification, and obstetric anal sphincter injury. The types, risk factors, and management of postpartum urinary retention is also covered.

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