Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery.
Details
State: Public
Version: Final published version
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_04E915136BFF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery.
Journal
International Urogynecology Journal
ISSN
1433-3023 (Electronic)
ISSN-L
0937-3462
Publication state
Published
Issued date
2011
Volume
22
Number
9
Pages
1127-1134
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
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.
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.
Keywords
Adult, Anal Canal/injuries, Anal Canal/surgery, Case-Control Studies, Extraction, Obstetrical/adverse effects, Fecal Incontinence/etiology, Female, Follow-Up Studies, Humans, Labor Presentation, Logistic Models, Pelvic Floor Disorders/etiology, Pregnancy, Questionnaires, Risk Factors, Severity of Illness Index, Sexual Dysfunction, Physiological/etiology, Urinary Incontinence/etiology
Pubmed
Web of science
Open Access
Yes
Create date
04/09/2011 15:07
Last modification date
14/02/2022 7:53
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