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International Urogynecology Journal

Published in:

01-09-2011 | Original Article

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

Authors: David Baud, Sylvain Meyer, Yvan Vial, Patrick Hohlfeld, Chahin Achtari

Published in: International Urogynecology Journal | Issue 9/2011

Abstract

Introduction and hypothesis

This study aims to estimate fecal, urinary incontinence, and sexual function 6 years after an obstetrical anal sphincter tear.

Methods

Among 13,213 women who had a vaginal delivery of a cephalic singleton at term, 196 women sustained an anal sphincter tear. They were matched to 588 controls. Validated questionnaires grading fecal and urinary incontinence, and sexual dysfunction were completed by the participants.

Results

Severe fecal incontinence was more frequently reported by women who had sustained an anal sphincter tear compared to the controls. Women with an anal sphincter tear had no increased risk of urinary incontinence, but reported significantly more pain, difficulty with vaginal lubrication, and difficulty achieving orgasm compared to the controls. A fetal occiput posterior position during childbirth was an independent risk factor for both severe urinary incontinence and severe sexual dysfunction.

Conclusions

Fecal incontinence is strongly associated with an anal sphincter tear. A fetal occiput posterior position represents a risk factor for urinary incontinence and sexual dysfunction.

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Title: Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery
Authors: David Baud
Sylvain Meyer
Yvan Vial
Patrick Hohlfeld
Chahin Achtari
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1431-2

At a glance: The STEP trials

Springer Medicine

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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