Observational studyInternational urogynecology journal2020
A one-stop perineal clinic: our eleven-year experience.
Observational study 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 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- The Relationship Between Levator Ani Integrity and Postpartum Sexual Dysfunction: A Systematic Review.International urogynecology journal · 2026Pooled it
- Effectiveness of small-angle episiotomy on incisional laceration rate, suturing time, and incisional bleeding in primigravida: A meta-analysis.Frontiers in medicine · 2023Pooled it
- Effect of Perineal Massage and Warm Compresses Technique in Postpartum Perineal Pain. A Secondary Analysis from a Randomised Controlled Trial.Reproductive sciences (Thousand Oaks, Calif.) · 2026Trial
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- Role of Ultrasound in the Evaluation of Women with Obstetric Anal Sphincter Injuries: Narrative Review.International urogynecology journal · 2026Review
- Role of Ultrasound in the Evaluation of Women with Obstetric Anal Sphincter Injuries: Narrative Review.International urogynecology journal · 2026Review
- 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
- Timing and Technique: Principles of Secondary Repair of Perineal Wound Dehiscence.International urogynecology journal · 2026Review
- Outcomes Following Obstetric Anal Sphincter Injury: Is There a Difference Between Subtypes in the Short Term?International urogynecology journal · 2026Article
- Prevalence and Predictors of Anal Incontinence 9-12 Months Postpartum in Primipara with Vacuum-Assisted Deliveries.International urogynecology journal · 2026Article
- The Japan Society of Coloproctology Practice Guidelines for Fecal Incontinence 2024 (Revised Second Edition).Journal of the anus, rectum and colon · 2026Review
- Factors Affecting Follow-up for Specialty Postpartum Care after Obstetric Anal Sphincter Injury at a Single U.S. Institution.International urogynecology journal · 2025Article
- Evaluating the Benefit of a Urogynecologic Telehealth Consultation after Obstetric Anal Sphincter Injury.International urogynecology journal · 2025Article
- Perineoplasty for anal incontinence after obstetric anal sphincter injury repair: a case report.Surgical case reports · 2024Article
- Pelvic floor injury during vaginal birth is life-altering and preventable: what can we do about it?American journal of obstetrics and gynecology · 2024Review
- The relationship between perineal trauma and postpartum psychological outcomes: a secondary analysis of a population-based survey.BMC pregnancy and childbirth · 2023Article
- Effect of a subsequent pregnancy on anal sphincter integrity and function after obstetric anal sphincter injury (OASI).International urogynecology journal · 2021Observational
- Peripartum pelvic floor disorder clinics inform obstetric provider practices.International urogynecology journal · 2021Article
- Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature.International urogynecology journal · 2021Review
- Study on the effect of one-stop service combined with clinical nursing path on patients with acute bronchial asthma.American journal of translational research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe perineal clinic is a dedicated setting offering assessment for various childbirth-related presentations including obstetric anal sphincter injuries (OASIs), perineal wound complications, pelvic floor dysfunction and other conditions such as female genital mutilation(FGM). We describe the clinical presentation and outcomes of women from a tertiary perineal clinic based on data collected over an 11-year period.
methodsThis is a retrospective observational study. A one-stop outpatient service was offered to all women who sustained OASIs (postnatally and antenatally in a subsequent pregnancy), perineal complications (within 16 weeks postpartum), FGM and/or peripartum symptoms of urinary/anal incontinence or prolapse. Assessment included history with validated questionnaires, examination and anal manometry and endoanal ultrasound when appropriate. Outcomes were compared among different grades of OASIs. Management of each type of presentation was reported with outcomes.
resultsThere were 3254 first attendance episodes between 2006 and 2016. The majority (58.1%) were for OASIs, followed by perineal wound complications. Compared to the lower grades, the higher grades of OASI were associated with poorer outcomes in terms of symptoms, investigations and complications. Women with OASIs had unrelated symptoms such as urinary incontinence, perineal pain and wound infections that needed further intervention. A high proportion(42%) of wound complications required further specialist management.
conclusionWe describe a dedicated, one-stop perineal clinic model for antenatal and postnatal women for management of perineal and pelvic floor disorders. This comprehensive and novel data will enable clinicians to better counsel women regarding of outcomes after OASI and focus training to minimize risks of morbidities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.