ArticleInternational urogynecology journal2016
Obstetric anal sphincter injury: a follow-up questionnaire study on longer-term outcomes.
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review.United European gastroenterology journal · 2020Pooled it
- Beyond the physical: exploring the complexities of Women's health after severe perineal trauma-a cross-sectional study on predictors of health-related quality of life in Sweden.Frontiers in global women's health · 2026Article
- How to Avoid Becoming a Risk Factor of Fecal Incontinence Due to OASIS-A Narrative Review.Journal of clinical medicine · 2024Review
- Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births.American journal of perinatology · 2024Article
- Article
- How to do it: delayed sphincteroplasty for obstetric anal sphincter injury.ANZ journal of surgery · 2022Article
- Modifiable and non-modifiable risk factors for obstetric anal sphincter injury in a Norwegian Region: a case-control study.BMC pregnancy and childbirth · 2022Article
- Delivery Mode after Ileal Pouch-Anal Anastomosis among Pregnant Women with Ulcerative Colitis.Journal of the anus, rectum and colon · 2021Article
- Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery- a cross-sectional study in Norway.BMC women's health · 2020Article
- Long-term outcome of sphincteroplasty with separate suturing of the internal and the external anal sphincter.Techniques in coloproctology · 2019Article
- Comparison of 3D endoanal ultrasound and external phased array magnetic resonance imaging in the diagnosis of obstetric anal sphincter injuries.European radiology · 2019Observational
- INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?Acta clinica Croatica · 2019Review
- Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment.Techniques in coloproctology · 2018Article
- The long-term physical, emotional and psychosexual outcomes related to anal incontinence after severe perineal trauma at childbirth.European journal of midwifery · 2018Article
- Comment on the long-term effects of vacuum extraction on pelvic floor function: a cohort study in primipara.International urogynecology journal · 2016Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisObstetric anal sphincter injuries (OASIS) contribute significantly to the development of anal incontinence (AI) in women. The aim of this study was to establish the incidence of AI after OASIS and to study the influence on the quality of life (QoL) in patients with OASIS.
methodsThis cohort study, with prospective case-control follow-up, involves women who were treated for OASIS between 2005 and 2012 in two academic medical centers in The Netherlands. Three hundred and thirteen patients and 780 controls were invited to complete a validated questionnaire (Defecation Distress Inventory, Wexner Incontinence Score, and Fecal Instrument Quality of Life) regarding symptoms and bother of AI subsequent and QoL after delivery. The main outcome measures were the presence of AI and the impact on QoL.
resultsThe questionnaire was completed by 141 patients and 194 controls. Mean follow-up was 4 years (range 1-9 years) in both groups. In the patient group, 55 women (39 %) reported AI symptoms compared with 38 women (20 %) in the control group (odds ratio 2.7, 95 % confidence interval 1.66-4.47, p < 0.01). In women who experienced symptoms of AI as very bothersome, QoL was affected in 14 (82.0 %) patients and three (33.5 %) controls (p = 0.012).
conclusionsIn this study, women with OASIS had a more than doubled risk of longer-term bothersome symptoms of AI compared with controls. Symptoms were experienced as bothersome and as having an influence on QoL.
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