serval:BIB_04E915136BFF
Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery.
10.1007/s00192-011-1431-2
000294351700007
21512827
Baud
D.
author
Meyer
S.
author
Vial
Y.
author
Hohlfeld
P.
author
Achtari
C.
author
article
2011
International Urogynecology Journal
1433-3023
0937-3462
journal
22
9
1127-1134
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.
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
eng
60_published
true
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
University of Lausanne
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