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01-04-2009 | Original Article

St. Mark’s incontinence score for assessment of anal incontinence following obstetric anal sphincter injuries (OASIS)

Authors: Anne-Marie Roos, Abdul H. Sultan, Ranee Thakar

Published in: International Urogynecology Journal | Issue 4/2009

Abstract

The aim of this study was to assess the correlation between St. Mark’s incontinence score (SMIS) for anal incontinence and impact on quality of life (QoL), following primary repair of obstetric anal sphincter injuries (OASIS). Three hundred sixty-eight women who sustained OASIS completed a Manchester Health Questionnaire (MHQ) and the clinician calculated a SMIS. Spearman’s correlation coefficients were calculated, and Mann–Whitney U test was used to compare different severity subgroups. Mean follow-up was 10 weeks and mean age was 30 years. Mean SMIS was 1.35. All MHQ QoL domains showed statistically significant positive correlation with SMIS. When comparing SMIS subgroups (0–4, 5–8, >8), mean QoL domain scores were higher with increasing SMIS. This shows that the objective assessment of severity of anal incontinence, using the SMIS, correlates to its impact on QoL in a relatively young population with low severity of symptoms and can, therefore, be used in women who sustain OASIS.

Perry S, Shaw C, McGrother C, Matthews RJ, Assassa RP, Dallosso H et al (2002) Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut 50:480–484PubMedCrossRef

Vaizey CJ, Carapeti E, Cahill JA et al (1999) Prospective comparison of faecal incontinence grading systems. Gut 44:77–80PubMedCrossRef

Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG et al (1999) Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum 42:1525–1532PubMedCrossRef

Pescatori M, Anastasio G, Bottini C et al (1992) New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 35:482–487PubMedCrossRef

Jorge JMN, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97PubMedCrossRef

Wong WD, Congliosi SM, Spencer MP, Corman ML, Tan P, Opelka FG et al (2002) The safety and efficacy of the artificial bowel sphincter for fecal incontinence. Dis Colon Rectum 45:1139–1153PubMedCrossRef

Deutekom M, Terra MP, Dobben AC, Dijkgraaf MGW, Baeten CGMI, Stoker J et al (2005) Impact of faecal incontinence severity on health domains. Colorectal Dis 7:263–269PubMedCrossRef

Maeda Y, Parés D, Norton C et al (2008) Does the St. Mark’s incontinence score reflect patients’ perceptions? A review of 390 patients. Dis Colon Rectum 51:436–442PubMedCrossRef

Boreham MK, Richter HE, Kenton KS, Nager CW, Gregory WT, Aronson MP et al (2005) Anal incontinence in women presenting for gynaecologic care: prevalence, risk factors, and impact upon quality of life. Am J Obstet Gynecol 192:1637–1642PubMedCrossRef

10.

Rothbarth J, Bemelman WA, Meijerink WJHJ, Stiggelbout AM, Zwinderman AH, Buyze-Westerweel ME et al (2001) What is the impact of fecal incontinence on quality of life? Dis Colon Rectum 44:67–71PubMedCrossRef

11.

Fenech DS, Takahashi T, Liu M, Spencer L, Swallow CJ, Cohen Z et al (2007) Function and quality of life after transanal excision of rectal polyps and cancers. Dis Colon Rectum 50:598–603PubMedCrossRef

12.

Lehur PA, Zerbib F, Neunlist M et al (2002) Comparison of quality of life and anorectal function after artificial sphincter implantation. Dis Colon Rectum 45:508–513PubMedCrossRef

13.

Pla-Martí V, Moro-Valdezate D, Alos-Company R et al (2007) The effect of surgery on quality of life in patients with faecal incontinence of obstetric origin. Colorectal Dis 9:90–95PubMedCrossRef

14.

Hatem M, Fraser W, Lepire E (2005) Postpartum urinary and anal incontinence: a population-based study of quality of life of primiparous women in Quebec. J Obstet Gynaecol Can 27:682–688PubMed

15.

Handa VL, Zyczynski HM, Burgio KL, Fitzgerald MP, Borello-France D, Jnaz NK et al (2007) The impact of fecal and urinary incontinence on quality of life 6 months after childbirth. Am J Obstet Gynecol 197:636.e1–636.e6CrossRef

16.

Bugg GJ, Kiff ES, Hosker G (2001) A new condition-specific health-related quality of life questionnaire for the assessment of women with anal incontinence. BJOG 108:1057–1067CrossRef

17.

Sultan AH, Thakar R (2007) Third and fourth degree tears. In: Sultan AH, Thakar R, Fenner DE (eds) Perineal and anal sphincter trauma. Springer, London, pp 33–51CrossRef

18.

Mahony R, Behan M, Daly L, Kirwan C, O’Herlihy C, O’Connell PR (2007) Internal anal sphincter defect influences continence outcome following obstetric anal sphincter injury. Am J Obstet Gynecol 196:217.e1–217.e5CrossRef

Title: St. Mark’s incontinence score for assessment of anal incontinence following obstetric anal sphincter injuries (OASIS)
Authors: Anne-Marie Roos
Abdul H. Sultan
Ranee Thakar
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0784-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

St. Mark’s incontinence score for assessment of anal incontinence following obstetric anal sphincter injuries (OASIS)

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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