Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery.
Détails
Etat: Public
Version: Final published version
Licence: Non spécifiée
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
ID Serval
serval:BIB_04E915136BFF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery.
Périodique
International Urogynecology Journal
ISSN
1433-3023 (Electronic)
ISSN-L
0937-3462
Statut éditorial
Publié
Date de publication
2011
Volume
22
Numéro
9
Pages
1127-1134
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
04/09/2011 16:07
Dernière modification de la notice
14/02/2022 8:53
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