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01-02-2008 | Original Article

Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?

Authors: Inka Scheer, Vasanth Andrews, Ranee Thakar, Abdul H. Sultan

Published in: International Urogynecology Journal | Issue 2/2008

Abstract

This study aimed to compare urinary symptoms and its impact on women’s quality of life after obstetric anal sphincter injuries (OASIS) with a matched control group in the short term. The study group consisted of 100 primiparous women with OASIS and 104 controls who sustained a second-degree tear or had a mediolateral episiotomy performed. All women completed a validated International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) questionnaire 10 weeks after delivery. Compared to controls, significantly more women with OASIS reported overall urinary incontinence (21.2 vs 38%, p = 0.005) and had significantly worse quality of life score (incontinence score: 2.42 vs 1.2; p = 0.008). Significantly more women with OASIS suffered from stress urinary incontinence (33 vs 14%; p = 0.002; OR 3.06; CI = 1.54–6.07) than controls. Logistic regression analysis revealed that OASIS and a prolonged (>50 min) second stage of labour were independent risk factors for the development of stress urinary incontinence. This study highlights the importance of inquiring about urinary incontinence in women with OASIS.

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Title: Urinary incontinence after obstetric anal sphincter injuries (OASIS)—is there a relationship?
Authors: Inka Scheer
Vasanth Andrews
Ranee Thakar
Abdul H. Sultan
Publication date: 01-02-2008
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-007-0431-8

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