scholarly journals Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery - A cross-sectional study in Norway

2020 ◽  
Author(s):  
Matilde Risopatron Berg ◽  
Ylva Ingrid Sahlin
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Incontinence Score ◽  
Persistent Symptoms ◽  
Anal Sphincter Injury ◽  
Endoanal Sonography ◽  
Colorectal Surgeon ◽  
Fecal Urgency

Abstract Background: Aim of the study was to estimate the prevalence of postpartum anal incontinence among women who delivered vaginally, and to assess the extent to which obstetric injuries to the anal sphincters are missed.Methods: All women (both primiparous and multiparous) who delivered vaginally and received any kind of sutures in the perineal area at Innlandet Hospital Trust Elverum in Norway between January 1, 2015 and June 30, 2016 were invited to answer a questionnaire on St. Mark’s incontinence score and to participate in a clinical examination of the pelvic floor including endoanal sonography. Results: In total 52,3% (n=207) of the 396 invited women participated in the study. Mean St. Mark’s score was 1.8 points (95% CI 1.4 to 2.1) at examination 14 months (mean) postpartum, and none of the participants suffered from weekly fecal leakage. Fecal urgency affected 11.7% (95% CI 7.1 to 16.3) of the participants, and 8.7% (95%CI 5.1 to 12.8) had weekly involuntary leakage of flatus. Nine women (9.3%, 95% CI 4.1 to 15.5) had a previously undetected third degree obstetric anal sphincter injury. Conclusion: The prevalence of anal incontinence among women who have delivered vaginally and received sutures due to 1st and 2nd degree perineal lacerations is low. Some obstetric anal sphincter injuries remain unrecognized at the time of delivery, but the symptoms of anal incontinence due to these injuries are in the lower half of the St. Mark’s incontinence score. Women with persistent symptoms like fecal urgency or leakage of gas and/or feces should be referred to evaluation by a colorectal surgeon in order to achieve optimal treatment.

scholarly journals Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery - A cross-sectional study in Norway

2020 ◽  
Author(s):  
Matilde Risopatron Berg ◽  
Ylva Ingrid Sahlin
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Incontinence Score ◽  
Persistent Symptoms ◽  
Anal Sphincter Injury ◽  
Endoanal Sonography ◽  
Colorectal Surgeon ◽  
Fecal Urgency

Abstract Background: Aim of the study was to estimate the prevalence of postpartum anal incontinence among women who delivered vaginally, and to assess the extent to which obstetric injuries to the anal sphincters are missed. Methods: All women (both primiparous and multiparous) who delivered vaginally and received any kind of sutures in the perineal area at Innlandet Hospital Trust Elverum in Norway between January 1, 2015 and June 30, 2016 were invited to answer a questionnaire on St. Mark’s incontinence score and to participate in a clinical examination of the pelvic floor including endoanal sonography. Results: In total 207 (52,3%) of the 396 invited women participated in the study. Mean St. Mark’s score was 1.8 points (95% CI 1.4 to 2.1), and none of the participants suffered from weekly fecal leakage. Fecal urgency affected 11.7% (95% CI 7.1 to 16.3) of the participants, and 8.7% (95%CI 5.1 to 12.8) had weekly involuntary leakage of flatus. Nine women (9.3%, 95% CI 4.1 to 15.5) had a previously undetected third degree obstetric anal sphincter injury. Conclusion: The prevalence of anal incontinence among women who have delivered vaginally and received sutures due to 1 st and 2 nd degree perineal lacerations is low. Some obstetric anal sphincter injuries remain unrecognized at the time of delivery, but the symptoms of anal incontinence due to these injuries are in the lower half of the St. Mark’s incontinence score. Women with persistent symptoms like fecal urgency or leakage of gas and/or feces should be referred to evaluation by a colorectal surgeon in order to achieve optimal treatment.

scholarly journals Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery - A cross-sectional study

2019 ◽  
Author(s):  
Matilde Risopatron Berg ◽  
Ylva Ingrid Sahlin
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Incontinence Score ◽  
Persistent Symptoms ◽  
Anal Sphincter Injury ◽  
Endoanal Sonography ◽  
Colorectal Surgeon ◽  
Fecal Urgency

Abstract Background Aim of the study was to estimate the prevalence of postpartum anal incontinence among women who delivered vaginally, and to assess the extent to which obstetric injuries to the anal sphincters are missed. Methods All women who delivered vaginally and received any kind of sutures in the perineal area at Innlandet Hospital Trust Elverum between January 1, 2015 and June 30, 2016 were nvited to answer a questionnaire on St. Mark’s incontinence score and to participate in a clinical examination of the pelvic floor including endoanal sonography. Results 52.3% of the invited women participated in the study. Mean St. Mark’s score was 1.8 points (95% CI 1.4 to 2.1), and none of the participants suffered from weekly fecal leakage. 11.7% (95% CI 7.1 to 16.3) experienced fecal urgency, and 8.7% (95%CI 5.1 to 12.8) had weekly involuntary leakage of flatus. Nine women (9.3%, 95% CI 4.1 to 15.5) had a previously undetected third degree obstetric anal sphincter injury. Conclusion The prevalence of anal incontinence among women who have delivered vaginally and received sutures due to 1st and 2nd degree perineal lacerations is low. Some obstetric anal sphincter injuries remain unrecognized at the time of delivery, but the symptoms of anal incontinence due to these injuries are in the lower half of the St. Mark’s incontinence score. Women with persistent symptoms like fecal urgency or leakage of gas and/or feces should be referred to evaluation by a colorectal surgeon in order to achieve optimal treatment.

scholarly journals Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery - A cross-sectional study in Norway

2020 ◽  
Author(s):  
Matilde Risopatron Berg ◽  
Ylva Ingrid Sahlin
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Incontinence Score ◽  
Persistent Symptoms ◽  
Anal Sphincter Injury ◽  
Endoanal Sonography ◽  
Colorectal Surgeon ◽  
Fecal Urgency

Abstract Background: Aim of the study was to estimate the prevalence of postpartum anal incontinence among women who delivered vaginally, and to assess the extent to which obstetric injuries to the anal sphincters are missed. Methods: All women (both primiparous and multiparous) who delivered vaginally and received any kind of sutures in the perineal area at Innlandet Hospital Trust Elverum in Norway between January 1, 2015 and June 30, 2016 were invited to answer a questionnaire on St. Mark’s incontinence score and to participate in a clinical examination of the pelvic floor including endoanal sonography. Results: In total 52,3% (n=207) of the 396 invited women participated in the study. Mean St. Mark’s score was 1.8 points (95% CI 1.4 to 2.1) at examination 14 months (mean) postpartum, and none of the participants suffered from weekly fecal leakage. Fecal urgency affected 11.7% (95% CI 7.1 to 16.3) of the participants, and 8.7% (95%CI 5.1 to 12.8) had weekly involuntary leakage of flatus. Nine women (9.3%, 95% CI 4.1 to 15.5) had a previously undetected third degree obstetric anal sphincter injury. Conclusion: The prevalence of anal incontinence among women who have delivered vaginally and received sutures due to 1 st and 2 nd degree perineal lacerations is low. Some obstetric anal sphincter injuries remain unrecognized at the time of delivery, but the symptoms of anal incontinence due to these injuries are in the lower half of the St. Mark’s incontinence score. Women with persistent symptoms like fecal urgency or leakage of gas and/or feces should be referred to evaluation by a colorectal surgeon in order to achieve optimal treatment.

scholarly journals Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A cross-sectional study

2021 ◽  
Author(s):  
Kristina Lindquist Skaug ◽  
Marie Ellström Engh ◽  
Helena Frawley ◽  
Kari Bø
Keyword(s):  
Pelvic Floor ◽  
Anal Incontinence ◽  
Female Athletes ◽  
Cross Sectional Study ◽  
Sport Performance ◽  
Sports Performance ◽  
International Consensus ◽  
Cross Sectional ◽  
Negative Effect ◽  
Female Gymnasts

Abstract Introduction and hypothesis Artistic gymnastics, team gymnastics and cheerleading are sports including high-impact activities. It is presumed that the athletes’ pelvic floor must be functioning well to prevent urinary (UI) and anal incontinence (AI) during sports. The aim of this study was to investigate the prevalence and risk factors for UI and AI in female artistic gymnasts, team gymnasts and cheerleaders; the influence of UI and AI on daily living and sport performance; and the athletes’ knowledge about the pelvic floor muscles (PFM). Methods All female athletes ≥ 12 years of age competing in ≥ 1 National Championship in artistic gymnastics, team gymnastics or cheerleading in 2018/2019 were invited. International Consensus on Incontinence Questionnaires were used to assess the prevalence/bother of UI and AI. Results Among the 319 gymnasts and cheerleaders who participated, the prevalence of UI and AI was 67% and 84%, respectively. Age, training ≥ 4 days/week and straining to void were significantly associated with stress urinary incontinence (SUI) and years of training with AI. Eighty-three percent of athletes with SUI reported a negative effect on sports performance, 22% would occasionally avoid training or specific exercises because of leakage, and 28% used pads for protection. Forty-one percent of the athletes had never heard about the PFM, and 74% reported an interest in PFM training to prevent/treat UI or AI. Conclusions UI and AI were prevalent in female gymnasts and cheerleaders, and SUI negatively influenced sport performance. The athletes’ knowledge about the PFM was limited.

Correlation of endoanal sonography with cross-sectional anatomy of the anal sphincter

1999 ◽  
Vol 50 (6) ◽  
pp. 804-810 ◽  
Author(s):  
Moritz A. Konerding ◽  
Omer Dzemali ◽  
Andreas Gaumann ◽  
Wolf Malkusch ◽  
Volker F. Eckardt
Keyword(s):  
Anal Sphincter ◽  
Cross Sectional ◽  
Sectional Anatomy ◽  
Endoanal Sonography
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