ArticleArchives of gynecology and obstetrics2021
Fishing for (in)continence: long-term follow-up of women with OASIS-still a taboo.
Article in Archives of gynecology and obstetrics, 2021. 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 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
- Effect of postpartum pessary use on pelvic floor function: a prospective multicenter study.Archives of gynecology and obstetrics · 2025Trial
- Pelvic Floor Dysfunction After Obstetric Anal Sphincter Injuries: A Prospective Cohort Study.International urogynecology journal · 2026Article
- Health-Related Quality of Life 24-36 Months After Vaginal Delivery with and Without Obstetric Anal Sphincter Injury: A Comparative Cohort Study.International urogynecology journal · 2026Article
- Short-Term and Long-Term Outcomes and Predictors of Complications Following Major Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- The Impact of Midwife Experience and Time of Birth on the Risk of Obstetric Anal Sphincter Injuries (OASIS).Birth (Berkeley, Calif.) · 2026Article
- Association Between Mode of Delivery and Levator Ani Muscle Abnormalities on 4D Transperineal Ultrasound at 6 Weeks Postpartum.International journal of women's health · 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
- Racial differences in the levator ani muscle and levator hiatus in individuals of reproductive age.American journal of obstetrics and gynecology · 2025Article
- The outcome of early perineal rehabilitation in obstetric anal sphincter injuries: a single-center experience.Archives of gynecology and obstetrics · 2025Observational
- How to Avoid Becoming a Risk Factor of Fecal Incontinence Due to OASIS-A Narrative Review.Journal of clinical medicine · 2024Review
- Article
- When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills.International urogynecology journal · 2023Observational
- Berlin survey on obstetric anal sphincter injury (OASI).Archives of gynecology and obstetrics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeObstetric anal sphincter injuries (OASIS) increase the risk for pelvic floor dysfunctions. The goal of this study was to examine the long-term outcomes after OASIS on pelvic floor functions and quality of life. MATERIAL AND
methodsBetween 2005 and 2013, 424 women had an OASIS at the Women University Hospital Ulm. Out of these 71 women completed the German pelvic floor questionnaire, which includes questions regarding prolapse symptoms as well as bladder, bowel and sexual function. In addition, 64 women were physically examined, including a speculum examination to evaluate the degree of prolapse, a cough test to evaluate urinary stress incontinence (SI) and an evaluation of both pelvic floor sphincter (modified Oxford score) and anal sphincter contraction.
resultsA high rate of pelvic floor disorders after OASIS was found, as 74.6% of women reported SI, 64.8% flatus incontinence and 18.3% stool incontinence, respectively. However, only few women stated a substantial negative impact on quality of life. The clinical examination showed that a positive cough test, a weak anal sphincter tone and a diagnosed prolapse correlated with the results of the self-reported questionnaire.
conclusionOn one hand, OASIS has an influence on pelvic floor function going along with lots of complaints, while on the other hand, it still seems to be a taboo topic, as none of the participants spoke about the complaints after OASIS with a doctor. Therefore, the gynecologist should actively address these issues and offer therapy options for the women with persisting problems.
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What OpenQuestion holds
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.