Knowledge Resource Center for Ecological Environment in Arid Area
DOI | 10.1007/s00192-021-05051-y |
Under-classified obstetric anal sphincter injuries | |
Roper, Joanna C.; Thakar, Ranee; Sultan, Abdul H. | |
通讯作者 | Sultan, AH |
来源期刊 | INTERNATIONAL UROGYNECOLOGY JOURNAL
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ISSN | 0937-3462 |
EISSN | 1433-3023 |
出版年 | 2022 |
英文摘要 | Introduction and hyposthesis Obstetric anal sphincter injuries (OASIs) that are missed at delivery can have long-term consequences. OASIs that are under-classified at delivery are likely to be inadequately repaired, resulting in a persistent anal sphincter defect. We aimed to identify women who have persistent defects on endoanal ultrasound, inconsistent with the original diagnosis, and compare the effect on St Mark's incontinence scores (SMIS). We also aimed to look for changes in numbers of under-classification over time. Methods Records of women attending a perineal clinic who had endoanal ultrasound from 2012 to 2020 were reviewed. Women who had a modified Starck score implying a defect greater than the classification [indicated by the depth of external anal sphincter or internal anal sphincter (IAS) defect] at delivery were identified. Results A total of 1056 women with a diagnosis of 3a or 3b tears were included. Of these, 120 (11.36%) were found to have a defect greater than the original diagnosis and therefore were incorrectly classified at delivery. Women who had a 3b tear diagnosed at delivery, but had an IAS defect, had a significantly higher SMIS (p < 0.01). When comparing two 4-year periods, there was a significant improvement in the diagnosis of IAS tears. Conclusion Some women with OASIs that have under-classified OASIs are associated with worse anorectal symptoms. This is likely because of an incomplete repair. Some improvement in diagnosis of IAS tears has been noted. We propose improved training in OASIs can help reduce the number of incorrectly classified tears and improve repair. |
英文关键词 | Obstetric anal sphincter injuries Diagnosis of third-degree tears St Mark's incontinence score Starck score Endoanal ultrasound |
类型 | Article ; Early Access |
语种 | 英语 |
收录类别 | SCI-E |
WOS记录号 | WOS:000754365800001 |
WOS关键词 | FECAL INCONTINENCE ; DIAGNOSIS ; DELIVERY ; REPAIR ; TEARS ; OASIS ; TIME |
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/2XILL650/377299 |
推荐引用方式 GB/T 7714 | Roper, Joanna C.,Thakar, Ranee,Sultan, Abdul H.. Under-classified obstetric anal sphincter injuries[J],2022. |
APA | Roper, Joanna C.,Thakar, Ranee,&Sultan, Abdul H..(2022).Under-classified obstetric anal sphincter injuries.INTERNATIONAL UROGYNECOLOGY JOURNAL. |
MLA | Roper, Joanna C.,et al."Under-classified obstetric anal sphincter injuries".INTERNATIONAL UROGYNECOLOGY JOURNAL (2022). |
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