干旱区生态环境知识资源中心(Arid): When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills

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DOI	10.1007/s00192-022-05205-6
	When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills
	Serati, Maurizio; Ruffolo, Alessandro Ferdinando; Scancarello, Chiara; Braga, Andrea; Salvatore, Stefano; Ghezzi, Fabio
通讯作者	Ruffolo, AF
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2023
卷号	34 期号:2 页码:493-498
英文摘要	Introduction and hypothesis Minorly skilled gynecologists are less likely to repair obstetric anal sphincter injuries (OASIS), and this can lead to higher rate of de novo onset of pelvic floor dysfunction (PFD). The aim of this study was to understand the impact of surgeon skills in OASIS repair on de novo incidence of PFDs. Methods An observational prospective cohort study performed between January 2019 and December 2020. We included 116 women with OASIS. At 6-weeks from delivery, women were divided into two groups in relation to the onset of PFDs. Characteristics were compared; categorical and continuous variables were assessed with chi-squared test and the Mann-Whitney rank-sum test respectively. Factors involved in PFDs development were analysed with explorative univariate analysis; significant (p<0.05) or approaching significance (p <= 0.10) variables were included in multivariable analysis. Results Seventy-six women (76/116; 65.5%) reported at least one PFD symptom and anal incontinence was the most prevalent (44.73%; 34/76). OASIS management by a skilled gynaecologist resulted protective for PFDs [aOR 0.33 (0.13-0.61)]. Skilled surgeon reported fewer PFDs than less skilled surgeon (4% vs 82.4%; p<0.0001). Operative delivery was more performed (32.5% vs 15.8%; p= 0.03) and severe OASIS resulted more prevalent (60% vs 17.1%; p<0.0001) among women without PDFs, even if these didn't affect the incidence of de novo PFDs [aOR 1.03 (0.23-1.45) and 0.83 (0.13-1.45), respectively]. Conclusions Surgeons skilled in OASIS repair resulted the only protective factor for incidence of de novo PFDs in women with OASIS at 6 weeks of follow up. Improvement of training in OASIS repair is necessary.
英文关键词	OASIS Obstetric anal sphincter injury Pelvic floor dysfunction Risk factors Surgical training
类型	Article
语种	英语
开放获取类型	Bronze, Green Published
收录类别	SCI-E
WOS记录号	WOS:000787165200003
WOS关键词	ANAL-SPHINCTER INJURIES ; RISK
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/2XILL650/397054
推荐引用方式 GB/T 7714	Serati, Maurizio,Ruffolo, Alessandro Ferdinando,Scancarello, Chiara,et al. When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills[J],2023,34(2):493-498.
APA	Serati, Maurizio,Ruffolo, Alessandro Ferdinando,Scancarello, Chiara,Braga, Andrea,Salvatore, Stefano,&Ghezzi, Fabio.(2023).When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills.INTERNATIONAL UROGYNECOLOGY JOURNAL,34(2),493-498.
MLA	Serati, Maurizio,et al."When does oasis cause de novo pelvic floor dysfunction? role of the surgeon's skills".INTERNATIONAL UROGYNECOLOGY JOURNAL 34.2(2023):493-498.