ArticleInternational urogynecology journal2020
Wexner score and quality of life in women with obstetric anal sphincter injury.
Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Caesarean section and anal incontinence in women after obstetric anal sphincter injury: A systematic review and meta-analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women-A follow-up of a randomized controlled trial.Acta obstetricia et gynecologica Scandinavica · 2026Trial
- 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
- Mode of Subsequent Delivery After Obstetric Anal Sphincter Injuries (OASIs).International urogynecology journal · 2026Review
- Self-reported pelvic floor dysfunction 12 months after an obstetric anal sphincter injury in relation to maternal body mass index.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Association Between Active Phase of the Second Stage of Labour and Obstetrical Anal Sphincter Injury Risk: A Contemporary, Retrospective, Population-Based Cohort Study.International urogynecology journal · 2026Article
- Ligation of the intersphincteric fistula tract vs. fistulotomy for complex anal fistula: a retrospective study.American journal of translational research · 2026Article
- 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
- Comparison of obstetric and non-obstetric anal sphincter injuries: Surgical outcomes and Jorge Wexner score analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- The outcome of early perineal rehabilitation in obstetric anal sphincter injuries: a single-center experience.Archives of gynecology and obstetrics · 2025Observational
- Detection of obstetric anal sphincter injuries using machine learning-assisted impedance spectroscopy: a prospective, comparative, multicentre clinical study.Scientific reports · 2025Article
- Local tissue response to a C-X-C motif chemokine ligand 12 therapy for fecal incontinence in a rabbit model.American journal of physiology. Gastrointestinal and liver physiology · 2025Article
- Biofeedback magnetic stimulation improves postoperative bowel dysfunction after rectal cancer surgery.American journal of translational research · 2025Article
- Predictors and Unexplained Variability of Obstetric Anal Sphincter Injuries: A Population-Based Cross-Sectional Analysis.International urogynecology journal · 2025Article
- How to Avoid Becoming a Risk Factor of Fecal Incontinence Due to OASIS-A Narrative Review.Journal of clinical medicine · 2024Review
- A Narrative Review of Patient-Reported Outcome Measures and Their Application in Recent Pediatric Surgical Research: Advancing Knowledge and Offering New Perspectives to the Field.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024Review
- Complications 8 weeks after an obstetric second-degree perineal laceration in relation to body mass index.International urogynecology journal · 2024Article
- Body mass index and complications after obstetric anal sphincter injury, 8 weeks postpartum.International urogynecology journal · 2022Article
- Anal incontinence after a prolonged second stage of labor in primiparous women.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
introduction and hypothesisObstetric anal sphincter injury causes anal incontinence in half of the women affected. However, most symptoms are mild. The objective of this study was to evaluate the prevalence of anal incontinence and quality of life in women at long term after delivery with obstetric anal sphincter injury. We also wanted to identify a relevant cutoff level of the Wexner score (also known as the Cleveland Clinic Incontinence Score) to indicate affected quality of life in these women.
methodsWe performed a population-based questionnaire cohort study with prospective follow-up, including all women in Denmark with obstetric anal sphincter injury and one subsequent delivery between 1997 and 2005. We performed uni- and multivariate analyses and calculated the area under the ROC curve.
resultsIn Denmark, 3885 women had an obstetric anal sphincter injury in their first delivery and a second delivery between 1997 and 2005 and no subsequent deliveries until 2010-2011. Questionnaires were sent to 3259 eligible women, and the response rate was 74.6%. In total, 2004 women could be included in the final analyses. Of these, 29.2% (n = 584) reported affected quality of life due to anal incontinence at long-term follow-up. We found that all symptoms of anal incontinence were associated with affected quality of life. The median age at follow-up was 40.3 years. The area under the ROC curve was 0.96 (95% CI 0.95-0.97) with a sensitivity of 0.94 (95% CI 0.92-0.96) and a specificity of 0.85 (95% CI 0.84-0.87) corresponding to an optimal cutoff level of the Wexner score of ≥ 2 to identify women with affected quality of life due to anal incontinence.
conclusionsIn women with obstetric anal sphincter injury, 29% reported affected quality of life due to anal incontinence at long-term follow-up, and we found a low Wexner score cutoff level of ≥ 2 to identify women with affected quality of life.
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