Sphincter tears in primiparous women: is age a factor?

Incontinence, bladder neck mobility, and sphincter ruptures in primiparous women

OBJECTIVE To compare the function of the pelvic floor in primiparae before and during pregnancy with the status post partum concerning symptoms of incontinence, sphincter ruptures, bladder-neck mobility and the influence of the different modes of deliveries. METHODS Questionnaire evaluating symptoms of urinary and anal incontinence in nulliparous women before and after delivery and correlatin...

Modifiable risk factors of obstetric anal sphincter injury in primiparous women: a population-based cohort study.

OBJECTIVE To determine modifiable risk factors and incidence of obstetric anal sphincter injury (OASIS) in primiparous women. STUDY DESIGN We performed a population-based retrospective cohort study, using data from the Danish Medical Birth Registry. The population consisted of primiparous women with a vaginal delivery in the time period 2000-2010. Univariable and multivariable logistic regres...

A modified surgical approach to women with obstetric anal sphincter tears

A modified surgical approach to women with obstetric anal sphincter tears by separate suturing of external and internal anal sphincter. A modified approach to obstetric anal sphincter injury

BACKGROUND Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. METHODS In a prospective study at Malmö University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a systematic way, including separate suturing of the internal and external sp...

Anal Incontinence and Obstetric Anal Sphincter Tears

PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphi...