Predictive factors for faecal incontinence after third or fourth degree obstetric tears: a clinico-physiologic study

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
J J TjandraM P Carey

Abstract

This is a prospective study to review the natural history of anorectal dysfunction after primary repair for third or fourth degree obstetric tear and to identify the predictive factors for significant faecal incontinence. From January 2003 to December 2005, 121 consecutive women (mean age 29.9 +/- 4.7) who sustained third or fourth degree obstetric tears were assessed. All had primary repair by obstetricians. They were assessed using anorectal physiology testing and endoanal ultrasound. Short-term (3-month postpartum) and medium-term (mean 18.8 +/- 7.7 months) Wexner's continence scores were obtained. Among the 121 women, seven were excluded because of incomplete follow-up. At short-term assessment, 25 out of 114 women were incontinent. One of them underwent another sphincter repair for significant faecal incontinence. Twenty-one and three patients respectively, had mild (Wexner's score 1-4) and moderate (Wexner's score 5-8) symptoms. At medium-term assessment, 24 patients remained incontinent; of these, 20 had mild symptoms (Wexner's score 1-4) and four had moderate incontinence (Wexner's score 5-8). The parity (P = 0.04), degree of obstetric tear (P = 0.036) and short-term Wexner's scores at 3 months postpartum (P < 0.0001) w...Continue Reading

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Citations

Nov 13, 2010·World Journal of Gastroenterology : WJG·Donato F AltomareFilippa Cuccia
Nov 26, 2013·Clinics in Geriatric Medicine·Siegfried W B Yu, Satish S C Rao
May 6, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·UNKNOWN Italian Society of Colorectal Surgery (SICCR)Paolo Usai Satta
Feb 15, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Mitchel Alan MuhlemanMarios Loukas
May 27, 2017·International Urogynecology Journal·Hege Hølmo JohannessenArne Wibe
Jul 13, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Michail SiderisShakila Thangaratinam

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