干旱区生态环境知识资源中心(Arid): A one-stop perineal clinic: our eleven-year experience

Arid

DOI	10.1007/s00192-020-04405-2
	A one-stop perineal clinic: our eleven-year experience
	Wan, Osanna Yee Ki; Taithongchai, Annika; Veiga, Susana, I; Sultan, Abdul H.; Thakar, Ranee
通讯作者	Thakar, R
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31 期号:11 页码:2317-2326
英文摘要	Introduction and hypothesis The perineal clinic is a dedicated setting offering assessment for various childbirth-related presentations including obstetric anal sphincter injuries (OASIs), perineal wound complications, pelvic floor dysfunction and other conditions such as female genital mutilation(FGM). We describe the clinical presentation and outcomes of women from a tertiary perineal clinic based on data collected over an 11-year period. Methods This is a retrospective observational study. A one-stop outpatient service was offered to all women who sustained OASIs (postnatally and antenatally in a subsequent pregnancy), perineal complications (within 16 weeks postpartum), FGM and/or peripartum symptoms of urinary/anal incontinence or prolapse. Assessment included history with validated questionnaires, examination and anal manometry and endoanal ultrasound when appropriate. Outcomes were compared among different grades of OASIs. Management of each type of presentation was reported with outcomes. Results There were 3254 first attendance episodes between 2006 and 2016. The majority (58.1%) were for OASIs, followed by perineal wound complications. Compared to the lower grades, the higher grades of OASI were associated with poorer outcomes in terms of symptoms, investigations and complications. Women with OASIs had unrelated symptoms such as urinary incontinence, perineal pain and wound infections that needed further intervention. A high proportion(42%) of wound complications required further specialist management. Conclusion We describe a dedicated, one-stop perineal clinic model for antenatal and postnatal women for management of perineal and pelvic floor disorders. This comprehensive and novel data will enable clinicians to better counsel women regarding of outcomes after OASI and focus training to minimize risks of morbidities.
英文关键词	Anal incontinence Female genital mutilation Obstetric anal sphincter injuries Perineal clinic Perineal trauma Perineal wound complications
类型	Article
语种	英语
开放获取类型	Green Accepted, Green Published, Other Gold
收录类别	SCI-E
WOS记录号	WOS:000545437900001
WOS关键词	SPHINCTER INJURIES OASIS ; DELIVERY ; OUTCOMES ; MODE
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/2XILL650/324927
作者单位	[Wan, Osanna Yee Ki; Taithongchai, Annika; Veiga, Susana, I; Sultan, Abdul H.; Thakar, Ranee] Croydon Univ Hosp, Deptt Obstet & Gynaecol, 530 London Rd, London CR7 7YE, England; [Wan, Osanna Yee Ki] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Obstet & Gynaecol, Hong Kong, Peoples R China; [Sultan, Abdul H.; Thakar, Ranee] St Georges Univ London, Cranmer Terrace, London, England
推荐引用方式 GB/T 7714	Wan, Osanna Yee Ki,Taithongchai, Annika,Veiga, Susana, I,et al. A one-stop perineal clinic: our eleven-year experience[J],2020,31(11):2317-2326.
APA	Wan, Osanna Yee Ki,Taithongchai, Annika,Veiga, Susana, I,Sultan, Abdul H.,&Thakar, Ranee.(2020).A one-stop perineal clinic: our eleven-year experience.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(11),2317-2326.
MLA	Wan, Osanna Yee Ki,et al."A one-stop perineal clinic: our eleven-year experience".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.11(2020):2317-2326.