干旱区生态环境知识资源中心(Arid): Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence?

Arid

DOI	10.1007/s00192-020-04274-9
	Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence?
	Volloyhaug, Ingrid 1,2; Taithongchai, Annika 3; Arendsen, Linda 3; van Gruting, Isabelle 3; Sultan, Abdul H.3; Thakar, Ranee 3
通讯作者	Volloyhaug, Ingrid
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31 期号:7 页码:1471-1478
英文摘要	Introduction and hypothesis Our aim was to explore the association between anal incontinence (AI) and persistent anal sphincter defects diagnosed with 3D endoanal (EAUS), introital (IUS) and transperineal ultrasound (TPUS) in women after obstetric anal sphincter injury (OASI) and study the association between sphincter defects and anal pressure. Methods We carried out a cross-sectional study of 250 women with OASI recruited during the period 2013-2015. They were examined 6-12 weeks postpartum or in a subsequent pregnancy with 3D EAUS, IUS and TPUS and measurement of anal pressure. Prevalence of urgency/solid/liquid AI or flatal AI and anal pressure were compared in women with a defect and those with an intact sphincter (diagnosed off-line) using Chi-squared and Mann-Whitney U test. Results At a mean of 23.6 (SD 30.1) months after OASI, more women with defect than those with intact sphincters on EAUS had AI; urgency/solid/liquid AI vs external defect: 36% vs 13% and flatal AI vs internal defect: 27% vs 13%, p < 0.05. On TPUS, more women with defect sphincters had flatal AI: 32% vs 13%, p = 0.03. No difference was found on IUS. Difference between defect and intact sphincters on EAUS, IUS and TPUS respectively was found for mean [SD] maximum anal resting pressure (48 [13] vs 55 [14] mmHg; 48 [12] vs 56 [13] mmHg; 50 [13] vs 54 [14] mmHg) and squeeze incremental pressure (33 [17] vs 49 [28] mmHg; 37 [23] vs 50 [28] mmHg; 36 [18] vs 50 [30] mmHg; p < 0.01). Conclusions Endoanal ultrasound had the strongest association with AI symptoms 2 years after OASI. Sphincter defects detected using all ultrasound methods were associated with lower anal pressure.
英文关键词	Anal sphincter Faecal incontinence Anal incontinence Ultrasound Anal pressure Obstetric anal sphincter injury
类型	Article
语种	英语
国家	Norway ; England
开放获取类型	Green Published, hybrid
收录类别	SCI-E
WOS记录号	WOS:000520905500001
WOS关键词	VAGINAL DELIVERY ; INJURIES OASIS ; PRIMARY REPAIR ; RISK-FACTORS ; TEARS ; COMPLEX
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/314810
作者单位	1.Norwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway; 2.Trondheim Reg & Univ Hosp, Dept Obstet & Gynecol, POB 3250, N-7006 Trondheim, Norway; 3.Croydon Univ Hosp, Obstet & Gynaecol, Croydon, England
推荐引用方式 GB/T 7714	Volloyhaug, Ingrid,Taithongchai, Annika,Arendsen, Linda,et al. Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence?[J],2020,31(7):1471-1478.
APA	Volloyhaug, Ingrid,Taithongchai, Annika,Arendsen, Linda,van Gruting, Isabelle,Sultan, Abdul H.,&Thakar, Ranee.(2020).Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence?.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(7),1471-1478.
MLA	Volloyhaug, Ingrid,et al."Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence?".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.7(2020):1471-1478.