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International Urogynecology Journal

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01-08-2010 | Original Article

The prevalence of anal incontinence in post-partum women following obstetrical anal sphincter injury

Authors: Rainbow Y. T. Tin, Jane Schulz, Beth Gunn, Cathy Flood, Rhonda J. Rosychuk

Published in: International Urogynecology Journal | Issue 8/2010

Abstract

Introduction and hypothesis

The primary objective of this study was to determine the prevalence of anal incontinence (AI) in post-partum women following obstetrical anal sphincter injury (OASI). We also assessed quality of life and prevalence of other pelvic floor symptoms.

Methods

Women who had third or fourth degree OASI were asked to complete the Pelvic Floor Distress Inventory (PFDI-20) and the Pelvic Floor Impact Questionnaire (PFIQ-7).

Results

Survey response rate was 25% (n = 1,383). Average patient age was 33.4 years. Of the patients, 10.2% had a fourth degree tear, and 89.8% had a third degree tear. Prevalence of AI was 7.7% (formed stool), 19.7% (loose stool), and 38.2% (flatus). Average PFDI and PFIQ scores were significantly higher in the fourth degree tear group.

Conclusions

The community prevalence and impact of AI have not been well-studied. Establishment of a perineal clinic and an increase in resources may help educate women and expedite treatment for OASI.

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Title: The prevalence of anal incontinence in post-partum women following obstetrical anal sphincter injury
Authors: Rainbow Y. T. Tin
Jane Schulz
Beth Gunn
Cathy Flood
Rhonda J. Rosychuk
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 8/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1134-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The prevalence of anal incontinence in post-partum women following obstetrical anal sphincter injury

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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