scholarly journals OP14.09: Obstetric levator ani and anal sphincter tears visualized with 4D/3D transanal and translabial ultrasound in the delivery room and at follow-up

2010 ◽  
Vol 36 (S1) ◽  
pp. 93-93
Author(s):  
A. Örnö ◽  
P. Reynisson ◽  
K. Maršál
Keyword(s):  
Anal Sphincter ◽  
Levator Ani ◽  
Delivery Room ◽  
Translabial Ultrasound ◽  
Anal Sphincter Tears

Third- or Fourth-Degree Intrapartum Anal Sphincter Tears Are Associated With Levator Ani Avulsion in Primiparas

2016 ◽  
Vol 35 (4) ◽  
pp. 709-715 ◽  
Author(s):  
Dan V. Valsky ◽  
Sarah M. Cohen ◽  
Michal Lipschuetz ◽  
Drorith Hochner-Celnikier ◽  
Hagit Daum ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Levator Ani ◽  
Fourth Degree ◽  
Levator Ani Avulsion ◽  
Anal Sphincter Tears

scholarly journals OP34.03: III°or IV°intrapartum anal sphincter tears are a significant risk factor for levator ani trauma

2011 ◽  
Vol 38 (S1) ◽  
pp. 152-153
Author(s):  
D. V. Valsky ◽  
S. M. Cohen ◽  
M. Lipschuetz ◽  
B. Messing ◽  
S. Yagel
Keyword(s):  
Risk Factor ◽  
Anal Sphincter ◽  
Significant Risk ◽  
Levator Ani ◽  
Significant Risk Factor ◽  
Anal Sphincter Tears

scholarly journals OC267: 3D transperineal ultrasound follow-up of intrapartum anal sphincter tears and functional correlation with clinical complaints

2007 ◽  
Vol 30 (4) ◽  
pp. 449-449 ◽  
Author(s):  
D. V. Valsky ◽  
A. Malkiel ◽  
S. Savchev ◽  
B. Messing ◽  
D. Hochner-Celnikier ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Transperineal Ultrasound ◽  
Functional Correlation ◽  
Anal Sphincter Tears

Immediate or Delayed Repair of Obstetric Anal Sphincter Tears–A Randomized Controlled Trial

2008 ◽  
Vol 63 (11) ◽  
pp. 686-687
Author(s):  
J Nordenstam ◽  
A Mellgren ◽  
D Altman ◽  
A López ◽  
C Johansson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Anal Sphincter ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Delayed Repair ◽  
Anal Sphincter Tears

scholarly journals Does a missed obstetric anal sphincter injury at time of delivery affect short-term functional outcome?

2018 ◽  
Vol 100 (1) ◽  
pp. 26-32 ◽  
Author(s):  
L Ramage ◽  
C Yen ◽  
S Qiu ◽  
C Simillis ◽  
C Kontovounisios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anal Sphincter ◽  
Short Form ◽  
Primary Repair ◽  
Obstetric Anal Sphincter Injury ◽  
Short Term ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

Introduction This study aimed to ascertain whether missed obstetric anal sphincter injury at delivery had worse functional and quality of life outcomes than primary repair immediately following delivery. Materials and methods Two to one propensity matching was undertaken of patients presenting to a tertiary pelvic floor unit with ultrasound evidence of missed obstetric anal sphincter injury within 24 months of delivery with patients who underwent primary repair at the time of delivery by parity, grade of injury and time to assessment. Outcomes compared included Birmingham Bowel, Bladder and Urinary Symptom Questionnaire (BBUSQ), Wexner Incontinence Score, Short Form-36, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire and anorectal physiology results. Results Thirty-two missed anal sphincter injuries were matched two to one with sixty-two patients who underwent primary repair of an anal sphincter defect. Mean time to follow-up was 9.31 ± 6.79 months. Patients with a missed anal sphincter injury had suffered more incontinence, as seen in higher the Birmingham Bowel, Bladder and Urinary Symptom Questionnaire (BBUSQ; 30.56% ± 14.41% vs. 19.75% ± 15.65%, P = 0.002) and Wexner scores (6.00 ± 3.76 vs. 3.67 ± 4.06, P = 0.009). They also had a worse BBUSQ urinary domain score (28.25% ± 14.9% vs. 17.01 ± 13.87%, P = 0.001) and worse physical functioning as measured by the Short Form-36 questionnaire (P = 0.045). There were no differences in other outcomes compared, including anorectal physiology and sexual function. Discussion In the short-term, patients with a missed obstetric anal sphincter injury had significantly worse faecal incontinence and urinary function scores, however quality of life and sexual function were largely comparable between groups. Conclusions Longer-term follow-up is needed to assess the effects of missed obstetric anal sphincter injury over time.

The incidence, risk factors and obstetric outcome in primigravid women sustaining anal sphincter tears

2003 ◽  
Vol 82 (8) ◽  
pp. 736-743 ◽  
Author(s):  
Nandini Gupta ◽  
Talakere Usha Kiran ◽  
Varsha Mulik ◽  
Jackie Bethel ◽  
Kiron Bhal
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Obstetric Outcome ◽  
Incidence Risk ◽  
Anal Sphincter Tears
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