Quantitative anal sphincter electromyography in primiparous women with anal incontinence

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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...

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Anal incontinence, urinary incontinence and sexual problems in primiparous women – a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury

BACKGROUND Obstetric anal sphincter injuries (OASIS) might cause anal incontinence (AI) and sexual dysfunction, and might be associated with urinary incontinence (UI). Episiotomy has been identified both as a risk and a protective factor of OASIS. Lately, episiotomies with specific characteristics have shown to be protective against the risk of OASIS. However, little is known about episiotomy c...

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Anal sphincter trauma and anal incontinence in urogynecological patients.

OBJECTIVES To determine the prevalence of evidence of residual obstetric anal sphincter injury, to evaluate its association with anal incontinence (AI) and to establish minimal diagnostic criteria for significant (residual) external anal sphincter (EAS) trauma. METHODS This was a retrospective analysis of ultrasound volume datasets of 501 patients attending a tertiary urogynecological unit. A...

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Anal incontinence: evaluation of the anal sphincter by endoscopic ultrasound.

incontinence (gas and liquid stools) shortly after proctologic surgery (fistulectomy). She did not report any obstetric trauma. We performed an anal inspection and a digital rectal examination. There were no anatomical defects, but a severe hypotonic anal sphincter was encountered. Since there is a radial-scanning ultrasound endoscope with frontal vision (Pentax EG3630UR) available in our Unit,...

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Influence of rectal prolapse on the asymmetry of the anal sphincter in patients with anal incontinence

BACKGROUND Anal sphincter defects have been shown to increase pressure asymmetry within the anal canal in patients with fecal incontinence. However, this correlation is far from perfect, and other factors may play a role. The goal of this study was to assess the impact of rectal prolapse on anal pressure asymmetry in patients with anal incontinence. METHODS 44 patients, (42 women, mean age: 6...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2008

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2008.01.053