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International Urogynecology Journal
Erschienen in: International Urogynecology Journal 8/2009

01.08.2009 | Original Article

Outcome of obstetric anal sphincter injuries (OASIS)—role of structured management

verfasst von: Vasanth Andrews, Ranee Thakar, Abdul H. Sultan

Erschienen in: International Urogynecology Journal | Ausgabe 8/2009

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Abstract

Introduction and hypothesis

Prospective studies up to 1 year after repair of obstetric anal sphincter injuries (OASIS) report anal incontinence in 33% of women and up to 92% have a sonographic sphincter defect. The aim of this study is to determine the outcome of repair by doctors who have undergone structured training using a standardized protocol.

Methods

Doctors repaired OASIS after attending a training workshop. The external anal sphincter was repaired by the end-to-end technique when partially divided and the overlap method when completely divided. Endoanal ultrasound was performed prior to suturing and 7 weeks later. A validated bowel symptom questionnaire was completed prior to delivery, at 7 weeks postpartum, and at 1 year postpartum.

Results

Fifty-nine women sustained OASIS. At 7 weeks, six (10%) had a defect on ultrasound. There was no significant deterioration in symptoms of fecal urgency, incontinence, or quality of life at 1 year after delivery.

Conclusions

The 1-year outcome after repair of OASIS appears to be good when repaired by doctors after structured training.
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Metadaten
Titel
Outcome of obstetric anal sphincter injuries (OASIS)—role of structured management
verfasst von
Vasanth Andrews
Ranee Thakar
Abdul H. Sultan
Publikationsdatum
01.08.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 8/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0883-0

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