干旱区生态环境知识资源中心(Arid): Fishing for (in)continence: long-term follow-up of women with OASIS-still a taboo

Arid

DOI	10.1007/s00404-020-05878-8
	Fishing for (in)continence: long-term follow-up of women with OASIS-still a taboo
	Schuetze, Sabine; Hohlfeld, Benedikt; Friedl, Thomas W. P.; Otto, Stephanie; Kraft, Katrina; Hancke, Katharina; Huener, Beate; Janni, Wolfgang; Deniz, Miriam
通讯作者	Deniz, M
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
英文摘要	Purpose Obstetric anal sphincter injuries (OASIS) increase the risk for pelvic floor dysfunctions. The goal of this study was to examine the long-term outcomes after OASIS on pelvic floor functions and quality of life. Material and methods Between 2005 and 2013, 424 women had an OASIS at the Women University Hospital Ulm. Out of these 71 women completed the German pelvic floor questionnaire, which includes questions regarding prolapse symptoms as well as bladder, bowel and sexual function. In addition, 64 women were physically examined, including a speculum examination to evaluate the degree of prolapse, a cough test to evaluate urinary stress incontinence (SI) and an evaluation of both pelvic floor sphincter (modified Oxford score) and anal sphincter contraction. Results A high rate of pelvic floor disorders after OASIS was found, as 74.6% of women reported SI, 64.8% flatus incontinence and 18.3% stool incontinence, respectively. However, only few women stated a substantial negative impact on quality of life. The clinical examination showed that a positive cough test, a weak anal sphincter tone and a diagnosed prolapse correlated with the results of the self-reported questionnaire. Conclusion On one hand, OASIS has an influence on pelvic floor function going along with lots of complaints, while on the other hand, it still seems to be a taboo topic, as none of the participants spoke about the complaints after OASIS with a doctor. Therefore, the gynecologist should actively address these issues and offer therapy options for the women with persisting problems.
英文关键词	OASIS Long-term outcome Pelvic floor function Flatus incontinence Urinary incontinence Quality of life
类型	Article ; Early Access
语种	英语
开放获取类型	Other Gold
收录类别	SCI-E
WOS记录号	WOS:000595039100001
WOS关键词	ANAL-SPHINCTER TEARS ; FECAL INCONTINENCE ; URINARY-INCONTINENCE ; SEXUAL FUNCTION ; RISK-FACTORS ; VAGINAL DELIVERY ; CHILDBIRTH ; EPIDEMIOLOGY ; RUPTURE ; DISRUPTION
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/328566
作者单位	[Schuetze, Sabine; Friedl, Thomas W. P.; Hancke, Katharina; Huener, Beate; Janni, Wolfgang; Deniz, Miriam] Ulm Univ Hosp, Dept Gynaecol & Obstet, Ulm, Germany; [Hohlfeld, Benedikt] Kbo Lech Mangfall Clin Garm Partenkirchen, Garmisch Partenkirchen, Germany; [Otto, Stephanie] Ulm Univ Hosp, Comprehens Canc Ctr Ulm CCCU, Ulm, Germany; [Kraft, Katrina] Munchen Klin Harlaching, Munich, Germany
推荐引用方式 GB/T 7714	Schuetze, Sabine,Hohlfeld, Benedikt,Friedl, Thomas W. P.,et al. Fishing for (in)continence: long-term follow-up of women with OASIS-still a taboo[J].
APA	Schuetze, Sabine.,Hohlfeld, Benedikt.,Friedl, Thomas W. P..,Otto, Stephanie.,Kraft, Katrina.,...&Deniz, Miriam.
MLA	Schuetze, Sabine,et al."Fishing for (in)continence: long-term follow-up of women with OASIS-still a taboo".ARCHIVES OF GYNECOLOGY AND OBSTETRICS