scholarly journals IIIB-IV Degree Perineal Rupture Repair Using Overlapping and End-to-End Techniques with Pudendal Block Anesthesia

2016 ◽  
Author(s):  
Nuring Pangastuti ◽  
Junizaf Junizaf ◽  
Ibnu Pranoto ◽  
Budi I Santoso ◽  
Tyas Priyatini
Keyword(s):  
Fecal Incontinence ◽  
General Hospital ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Control Group ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
End To End ◽  
Successful Repair ◽  
Fecal Urgency

Objective: To compare the incidence of persistent sonographic anal sphincter defect, fecal urgency, anal and fecal incontinence after IIIb- IV degree perineal rupture repair using overlapping and end-to-end technique. Method: An open clinical trial with randomization was carried out in July 2010-April 2012. The population consisted of the patients who underwent vaginal delivery in Dr. Sardjito Central General Hospital, Sleman District General Hospital, as well as Tegalrejo, Jetis and Mergangsan Community Health Centers who did no have complaints of fecal urgency, anal incontinence, and/or fecal incontinence, and suffered IIIb-IV degree perineal rupture repaired within less than 24 hours of rupture. The exclusion criteria included conditions in which patients could not undergo repair at the moment (shock, uncooperative patient). Fourty-eight research samples were divided into 2 groups, 24 samples for each of the treatment group (overlapping repair) and the control group (end-to-end repair). Local anesthesia was performed in a pudendal-block manner. Result: Success of the repair was assessed based on the presence of persistent sonographic anal sphincter defects in the 6-week evaluation after repair. Successful repair was higher in the overlapping group than that of the end-to-end group (94.74% vs 81.25%, p=0.31). Clinically and based on the Fecal Continence Scoring Scale (FCSS), evaluation at weeks II and VI indicated successful repair in both groups. Conclusion: There was no difference in the incidence of persistent sonographic anal sphincter defects, fecal urgency, anal incontinence, and fecal incontinence, after IIIb-IV degree perineal rupture repair using overlapping technique in comparison with end-to-end technique. Keywords: end-to-end technique, III-IV degree perineal rupture, obstetric perineal rupture, overlapping technique

Tu1776 Anorectal Neuropathy and Anal Sphincter Defects: Independent or Associated Risk Factors in Fecal Incontinence

2016 ◽  
Vol 150 (4) ◽  
pp. S941-S942
Author(s):  
Tanisa Patcharatrakul ◽  
Mercedes Amieva-Balmori ◽  
Amol Sharma ◽  
Annie DeWitt ◽  
Satish S. Rao
Keyword(s):  
Risk Factors ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
Associated Risk Factors

scholarly journals Prevalence of anal sphincter defects and association with anal incontinence in women scheduled for pelvic organ prolapse surgery

2020 ◽  
Vol 39 (8) ◽  
pp. 2409-2416
Author(s):  
Seema Mathew ◽  
Rodrigo A. Guzman Rojas ◽  
Maria Ø. Nyhus ◽  
Kjell Å. Salvesen ◽  
Ingrid I. Volløyhaug
Keyword(s):  
Pelvic Organ Prolapse ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Pelvic Organ Prolapse Surgery ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Anal Sphincter Defects in Patients with Fecal Incontinence: Endoanal versus External Phased-Array MR Imaging

Radiology ◽  
2005 ◽  
Vol 236 (3) ◽  
pp. 886-895 ◽  
Author(s):  
Maaike P. Terra ◽  
Regina G. H. Beets-Tan ◽  
Victor P. M. van Der Hulst ◽  
Marcel G. W. Dijkgraaf ◽  
Patrick M. M. Bossuyt ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Mr Imaging ◽  
Anal Sphincter ◽  
Phased Array ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

2012 ◽  
Vol 39 (4) ◽  
pp. 241-247
Author(s):  
Kumi Hotta ◽  
Ryoko Murayama ◽  
Mikako Yoshida ◽  
Hironobu Hyodo ◽  
Koichi Kobayashi ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Three Dimensional ◽  
Transperineal Ultrasound ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Impact of residual defect of anal sphincter on patient’s quality of life

2021 ◽  
Vol 86 (3) ◽  
pp. 163-166
Author(s):  
Petr Hubka ◽  
◽  
Rachid El Haddad ◽  
Jaromír Mašata ◽  
Alois Martan ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Sphincter Injury ◽  
Sphincter Defect ◽  
Anal Sphincter Injury ◽  
Sphincter Defects ◽  
Anal Sphincter Defect ◽  
Anal Sphincter Defects ◽  
Obstetrical Anal Sphincter Injury ◽  
Fecal Urgency

Summary Aim: The aim of this retrospective study is to correlate the presence of residual anal sphincter defect with the quality of life of patients after vaginal delivery complicated with obstetrical anal sphincter injury. Study group and methods: Patients diagnosed with obstetrical anal sphincter injury are dispensed at our urogynecological unit, with a mean follow-up period of 37 months. Two investigators blinded to the results of clinical symptoms evaluated archived ultrasound volumes taken for the presence of residual anal sphincter defects that were later correlated with the St. Mark’s Incontinence Score. Results: The group comprises of 181 patients diagnosed with an obstetrical anal sphincter injury who underwent ultrasound examination of anal sphincter at three post-partum months. The questionnaires were completed by 118 patients (65.2% of all patients). A residual sphincter defect was diagnosed in seven cases (5.9%). In the group with residual defects, fecal urgency (lack of ability to defer defecation) was present in 57.1%. In the group without residual anal sphincter defects, fecal urgency was present in 12.6%. This difference is significant (< 0.001) with the contingency coefficient 0.291. Conclusions: In conclusion, the presence of residual anal sphincter defect increases the probability of fecal urgency.

scholarly journals DO CHANGES IN ANAL SPHINCTER ANATOMY CORRELATE WITH ANAL FUNCTION IN WOMEN WITH A HISTORY OF VAGINAL DELIVERY?

2014 ◽  
Vol 51 (3) ◽  
pp. 198-204 ◽  
Author(s):  
Sthela Maria MURAD-REGADAS ◽  
Iris Daiana DEALCANFREITAS ◽  
Francisco Sergio Pinheiro REGADAS ◽  
Lusmar Veras RODRIGUES ◽  
Graziela Olivia da Silva FERNANDES ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Three Dimensional ◽  
Control Group ◽  
Anal Function ◽  
Sphincter Defects ◽  
Resting Pressure ◽  
History Of ◽  
And Function

Objectives To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods Female with fecal incontinence and vaginal delivery were assessed with Wexner’s score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions Avaliar a anatomia do esfíncter anal usando ultra-sonografia tridimensional (3D-US) em mulheres incontinentes com parto vaginal, correlacionar os achados anatômicos com sintomas de incontinência fecal e, determinar o efeito do parto vaginal sobre a anatomia e função do canal anal.

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