scholarly journals Anal Sphincter Length as Determined by 3‐Dimensional Endoanal Ultrasound and Anal Manometry

Author(s):  
Stig Norderval ◽  
Torunn K. Pedersen ◽  
Rowan J. Collinson
2006 ◽  
Vol 194 (5) ◽  
pp. 1243-1248 ◽  
Author(s):  
W. Thomas Gregory ◽  
Sarah Hamilton Boyles ◽  
Kimberly Simmons ◽  
Amy Corcoran ◽  
Amanda L. Clark

2015 ◽  
Vol 28 (3) ◽  
pp. 399-409 ◽  
Author(s):  
G. Gourcerol ◽  
S. Granier ◽  
V. Bridoux ◽  
J. F. Menard ◽  
P. Ducrotté ◽  
...  

2017 ◽  
Vol 37 (3) ◽  
pp. 225-231
Author(s):  
Ahmad Izadpanah ◽  
Ensieh Izadpanah ◽  
Mehrzad Lotfi ◽  
Alamtaj Samsami ◽  
Alireza Safarpour ◽  
...  

Author(s):  
Nicola Adanna Okeahialam ◽  
Ranee Thakar ◽  
Abdul H. Sultan

Abstract Introduction and hypothesis Endoanal ultrasound (EAUS) and anal manometry are used in the assessment women with a history of obstetric anal sphincter injury (OASI), both postpartum and in a subsequent pregnancy, to aid counselling regarding mode of delivery (MOD). Methods A prospective observational study between 2012 to 2020 was completed. Women were reviewed 3 months postpartum following OASI and in the second half of a subsequent pregnancy. Anorectal symptoms were measured using the validated St Mark’s Incontinence Score (SMIS: asymptomatic to mild symptoms = ≤ 4). Anal manometry (incremental maximum squeeze pressure [iMSP: normal = > 20 mmHg]) and EAUS (abnormal = sphincter defect > 1 h in size) were performed. Results One hundred forty-six women were identified and 67.8% had an anal sphincter defect ≤ 1 h in size postnatally. In those with a defect ≤ 1 h, postpartum mean iMSP and SMIS significantly improved in a subsequent pregnancy (p = 0.04 and p = 0.01, respectively). In women with a defect > 1 h, there was no significant difference between the mean iMSP or SMIS score postnatally compared to a subsequent pregnancy. At both time points, significantly more women had an anal sphincter defect ≤ 1 h and SMIS of ≤ 4 (p = 0.001 and p < 0.001 respectively) compared to those with a defect < 1 h. In addition, significantly more women had an anal sphincter defect ≤ 1 h and iMSP ≥ 20 mmHg (p < 0.001). Overall, out of the 146 women included in this study, 76 (52.1%) with a defect ≤ 1 h also had an iMSP ≥ 20 mmHg and SMIS ≤ 4 at 3 months postpartum. Conclusions Women who remain asymptomatic with normal anal manometry and no abnormal sphincter defects on EAUS postnatally do not need to have these investigations repeated in a subsequent pregnancy and can be recommended to have a vaginal delivery. If our protocol was modified, over half of the women in this study could have had their MOD recommendation made in the postnatal period alone.


Midwifery ◽  
2017 ◽  
Vol 51 ◽  
pp. 40-43 ◽  
Author(s):  
Kristina Drusany Staric ◽  
Adolf Lukanovic ◽  
Petra Petrocnik ◽  
Vita Zacesta ◽  
Corrado Cescon ◽  
...  

2015 ◽  
Vol 110 ◽  
pp. S582
Author(s):  
Sonali Palchaudhuri ◽  
Shreya Raja ◽  
Frances U. Onyimba ◽  
Danielle Hoo-Fatt ◽  
Francis Okeke ◽  
...  

2013 ◽  
Vol 15 (10) ◽  
pp. e607-e611 ◽  
Author(s):  
V. Vitton ◽  
W. Ben Hadj Amor ◽  
K. Baumstarck ◽  
M. Behr ◽  
M. Bouvier ◽  
...  

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