Impact of residual defect of anal sphincter on patient’s quality of life


Authors: Hubka P. 1;  Haddad El R. 2;  Mašata J. 3;  Martan A. 3;  Švabík K. 3
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha, ČR 1;  Polyclinique de Blois, La Chaussée-Saint-Victor, Francie 2;  Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze, ČR 3
Published in: Ceska Gynekol 2021; 86(3): 163-166
Category:
doi: 10.48095/cccg2021163

Overview

Aim: The aim of this retrospective study is to correlate the presence of residual anal sphincter defect with the quality of life of patients after vaginal delivery complicated with obstetrical anal sphincter injury.

Study group and methods: Patients dia­gnosed with obstetrical anal sphincter injury are dispensed at our urogynecological unit, with a mean follow-up period of 37 months. Two investigators blinded to the results of clinical symptoms evaluated archived ultrasound volumes taken for the presence of residual anal sphincter defects that were later correlated with the St. Mark’s Incontinence Score.

Results: The group comprises of 181 patients dia­gnosed with an obstetrical anal sphincter injury who underwent ultrasound examination of anal sphincter at three post-partum months. The questionnaires were completed by 118 patients (65.2% of all patients). A residual sphincter defect was dia­gnosed in seven cases (5.9%). In the group with residual defects, fecal urgency (lack of ability to defer defecation) was present in 57.1%. In the group without residual anal sphincter defects, fecal urgency was present in 12.6%. This difference is significant (< 0.001) with the contingency coefficient 0.291.

Conclusions: In conclusion, the presence of residual anal sphincter defect increases the probability of fecal urgency.

Publication ethics: The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for bio medical papers.

Conflict of interests: The authors declare they have no potential conflicts of interest concerning the drugs, products or services used in the study.

Dedication: The work was supported by the grants UNCE 204065 and AZV 17-32030A.

Keywords:

anal incontinence – obstetrical anal sphincter injury – ultrasound exam


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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