干旱区生态环境知识资源中心(Arid): Correlation of anorectal symptoms and endoanal ultrasound findings after obstetric anal sphincter injuries (OASIS)

Arid

DOI	10.1007/s00192-023-05491-8
	Correlation of anorectal symptoms and endoanal ultrasound findings after obstetric anal sphincter injuries (OASIS)
	Giroux, Maria; Naqvi, Nawazish; Alarab, May
通讯作者	Alarab, M
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2023
卷号	34 期号:9 页码:2241-2247
英文摘要	IntroductionObstetric anal sphincter injuries (OASIS) predispose to development of anorectal symptoms that affect women's quality of life.MethodsA retrospective cohort study was conducted for all women with singleton vaginal deliveries who had a primary OASIS repair and attended the Postpartum Perineal Clinic between July 1st 2017 and December 31st 2020. This study was approved by the Research Ethics Board. The purpose of this study was (1) to determine correlation between endoanal ultrasound (EAUS) findings and anorectal symptoms quantified by the St. Mark's Incontinence Score (SMIS), (2) to determine the incidence of residual anal sphincter defects, and (3) to determine the rate of clinical overdiagnosis of OASIS. Pearson correlation coefficient was used to assess correlation between anorectal symptoms and EAUS findings.ResultsA total of 247 participants with clinical diagnosis of OASIS met the inclusion criteria. A 3rd-degree tear was identified in 126 (51.0%) and 4th-degree tear was identified in 30 (12.1%) participants. In participants with sonographic evidence of OASIS, there was a statistically significant weak positive correlation between the size of residual defect and SMIS for both external anal sphincter (EAS) (r = .3723, p < .0001) and internal anal sphincter (IAS) (r = .3122, p = .0180). Residual defect in the anorectal sphincter of greater than 1 hour (> 30 degrees) in width was present in 64.3% participants with 3rd-degree tear and 86.7% participants with 4th-degree tear. The rate of overdiagnosis was 36.8%.ConclusionThe size of residual defect of EAS and IAS has a weak positive correlation with anorectal symptoms, emphasizing the importance of EAUS for counselling regarding mode of subsequent delivery.
英文关键词	Obstetric anal sphincter injuries Perineal trauma Anal incontinence Fecal incontinence Anorectal symptoms Endoanal ultrasound
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000974898900002
WOS关键词	URINARY-INCONTINENCE ; FECAL INCONTINENCE ; RESIDUAL DEFECTS ; COMPLEX ; REPAIR ; ENDOSONOGRAPHY ; 3RD-DEGREE ; CHILDBIRTH ; PREGNANCY ; DELIVERY
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/2XILL650/397056
推荐引用方式 GB/T 7714	Giroux, Maria,Naqvi, Nawazish,Alarab, May. Correlation of anorectal symptoms and endoanal ultrasound findings after obstetric anal sphincter injuries (OASIS)[J],2023,34(9):2241-2247.
APA	Giroux, Maria,Naqvi, Nawazish,&Alarab, May.(2023).Correlation of anorectal symptoms and endoanal ultrasound findings after obstetric anal sphincter injuries (OASIS).INTERNATIONAL UROGYNECOLOGY JOURNAL,34(9),2241-2247.
MLA	Giroux, Maria,et al."Correlation of anorectal symptoms and endoanal ultrasound findings after obstetric anal sphincter injuries (OASIS)".INTERNATIONAL UROGYNECOLOGY JOURNAL 34.9(2023):2241-2247.