ArticleTechniques in coloproctology2018
Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment.
Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Effects of Sleeve Gastrectomy on Pelvic Floor Disorders in Female Patients with Severe Obesity: a Prospective Study.Obesity surgery · 2023Trial
- Impact of episiotomy on anal incontinence following second- to fourth-degree perineal tears-A cohort study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Obstetric anal sphincter injuries (OASIS) and secondary repair (overlapping sphincteroplasty) in a colorectal unit: case series.Annals of medicine and surgery (2012) · 2025Article
- Comparison of the Fecal Incontinence Severity Scores between Self-administration by Patients and an Oral Interview by a Physician.Journal of the anus, rectum and colon · 2024Article
- Women's experiences of surviving severe obstetric complications: a qualitative inquiry in southern Ghana.BMC pregnancy and childbirth · 2022Article
- Can ultrasound 10 days after obstetric anal sphincter injury predict anal incontinence at long-term follow-up?International urogynecology journal · 2021Article
- Wexner score and quality of life in women with obstetric anal sphincter injury.International urogynecology journal · 2020Article
- Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life.Techniques in coloproctology · 2020Article
- Long-term outcome of sphincteroplasty with separate suturing of the internal and the external anal sphincter.Techniques in coloproctology · 2019Article
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Abstract
backgroundThe aim of the present study was to evaluate the subjective outcome of primary repair of obstetric anal sphincter injury (OASIS) at 6 months, the factors associated with the symptoms of anal incontinence (AI), and the role of a simple survey consisting in one question with three answer choices, combined with the Wexner incontinence score for the assessment of this patient population.
methodsA retrospective cohort study was conducted on patients with third- or fourth-degree OASIS operated on between January 2007 and December 2013 inclusive at Tampere University Hospital, Finland. At 6 months, the patients were asked to report their Wexner's score as well as the three-choice assessment regarding AI symptoms. Based on this assessment, the patients were divided into three groups: those, asymptomatic, those with mild symptoms who did not want further treatment and those with severe symptoms who were willing to undergo further evaluation and treatment.
resultsThere were 325 patients (median age 30 years). A total of 310 patients answered the questionnaire. Of which, one hundred and ninety-eight (63.9%) patients were asymptomatic, 85 (27.4%) had mild AI, and 27 (8.7%) experienced severe symptoms. There was no statistical difference in the results between the two techniques used (overlapping vs. end-to-end), or the stage of specialization of the operating physician. Persistent symptoms were associated with instrumental vaginal delivery (OR 2.12, 95% CI 1.32-3.41), severity of the injury (OR 1.64, 95% CI 1.20-2.25), and increased maternal age (OR 1.07, 95% CI 1.02-1.13). The correlation between the three-choice symptom evaluation and the Wexner score was good (Spearman's rho 0.82).
conclusionsAfter 6 months, severe symptoms after OASIS repair were present in 9% of women and were more frequent in older women, women with high-degree tears and after instrumental vaginal delivery. A three-choice assessment of AI symptoms correlated well with the Wexner score and might be useful to triage patients who need further evaluation.
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