Anal sphincter injury in women with pelvic floor disorders
1) To estimate the rate of anal incontinence and anal sphincter injury in a group of women with pelvic floor disorders; 2) to evaluate the relationship between anal incontinence and anal sphincter injury as demonstrated by endoanal ultrasonography; 3) to explore any associations between operative va...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2004-10, Vol.104 (4), p.690-696 |
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| creator | NICHOLS, Catherine Matthews GILL, Edward J NGUYEN, Tuc BARBER, Matthew D HURT, W. Glenn |
| description | 1) To estimate the rate of anal incontinence and anal sphincter injury in a group of women with pelvic floor disorders; 2) to evaluate the relationship between anal incontinence and anal sphincter injury as demonstrated by endoanal ultrasonography; 3) to explore any associations between operative vaginal delivery and anal sphincter injury in this population.
A cohort of 100 women with stage II or greater pelvic organ prolapse and/or urinary incontinence completed the Rockwood-Thompson Fecal Incontinence Severity Index Questionnaire (FISI). Pelvic organ prolapse was recorded using the Pelvic Organ Prolapse Quantification system. Multichannel cystometry and endoanal ultrasonography were performed. Categorical data were compared using the chi(2) statistic. The FISI scores were correlated with degree of anal sphincter injury using the Pearson correlation coefficient (r).
Fifteen women with pelvic organ prolapse only, 28 with urinary incontinence only, and 57 with both were evaluated. Mean age (+/- standard deviation) and body mass index were 57.1 +/- 13.2 years and 29.8 +/- 6.8 kg/m(2), respectively. Median parity was 3. Fifty-four percent of those studied had anal incontinence, and 52% had anal sphincter defects. Anal incontinence was significantly associated with sphincter injury (odds ratio 36.4, 95% confidence interval 12-114, P |
| doi_str_mv | 10.1097/01.AOG.0000139518.46032.e5 |
| format | Article |
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A cohort of 100 women with stage II or greater pelvic organ prolapse and/or urinary incontinence completed the Rockwood-Thompson Fecal Incontinence Severity Index Questionnaire (FISI). Pelvic organ prolapse was recorded using the Pelvic Organ Prolapse Quantification system. Multichannel cystometry and endoanal ultrasonography were performed. Categorical data were compared using the chi(2) statistic. The FISI scores were correlated with degree of anal sphincter injury using the Pearson correlation coefficient (r).
Fifteen women with pelvic organ prolapse only, 28 with urinary incontinence only, and 57 with both were evaluated. Mean age (+/- standard deviation) and body mass index were 57.1 +/- 13.2 years and 29.8 +/- 6.8 kg/m(2), respectively. Median parity was 3. Fifty-four percent of those studied had anal incontinence, and 52% had anal sphincter defects. Anal incontinence was significantly associated with sphincter injury (odds ratio 36.4, 95% confidence interval 12-114, P <.001). The FISI scores were positively correlated with increasing degrees of anal sphincter disruption (r = 0.81, P <.001). A history of operative vaginal delivery was significantly associated with anal sphincter injury (P =.023).
Anal incontinence and anal sphincter injury are common in women with other pelvic floor disorders and are significantly related. Operative vaginal delivery may contribute to unrecognized anal sphincter trauma in this population.
III</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000139518.46032.e5</identifier><identifier>PMID: 15458887</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adult ; Anal Canal - diagnostic imaging ; Anal Canal - injuries ; Anal Canal - physiopathology ; Biological and medical sciences ; Cohort Studies ; Delivery, Obstetric - adverse effects ; Delivery, Obstetric - methods ; Fecal Incontinence - epidemiology ; Fecal Incontinence - etiology ; Fecal Incontinence - physiopathology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Middle Aged ; Pelvic Floor - physiopathology ; Severity of Illness Index ; Ultrasonography ; Uterine Prolapse - epidemiology ; Uterine Prolapse - etiology ; Uterine Prolapse - physiopathology ; Virginia - epidemiology</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2004-10, Vol.104 (4), p.690-696</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-858ea61b3324f718e356f347c9c9b32497e15e1eaaf06294218be3fbac5fdfb63</citedby><cites>FETCH-LOGICAL-c345t-858ea61b3324f718e356f347c9c9b32497e15e1eaaf06294218be3fbac5fdfb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16142172$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15458887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NICHOLS, Catherine Matthews</creatorcontrib><creatorcontrib>GILL, Edward J</creatorcontrib><creatorcontrib>NGUYEN, Tuc</creatorcontrib><creatorcontrib>BARBER, Matthew D</creatorcontrib><creatorcontrib>HURT, W. Glenn</creatorcontrib><title>Anal sphincter injury in women with pelvic floor disorders</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>1) To estimate the rate of anal incontinence and anal sphincter injury in a group of women with pelvic floor disorders; 2) to evaluate the relationship between anal incontinence and anal sphincter injury as demonstrated by endoanal ultrasonography; 3) to explore any associations between operative vaginal delivery and anal sphincter injury in this population.
A cohort of 100 women with stage II or greater pelvic organ prolapse and/or urinary incontinence completed the Rockwood-Thompson Fecal Incontinence Severity Index Questionnaire (FISI). Pelvic organ prolapse was recorded using the Pelvic Organ Prolapse Quantification system. Multichannel cystometry and endoanal ultrasonography were performed. Categorical data were compared using the chi(2) statistic. The FISI scores were correlated with degree of anal sphincter injury using the Pearson correlation coefficient (r).
Fifteen women with pelvic organ prolapse only, 28 with urinary incontinence only, and 57 with both were evaluated. Mean age (+/- standard deviation) and body mass index were 57.1 +/- 13.2 years and 29.8 +/- 6.8 kg/m(2), respectively. Median parity was 3. Fifty-four percent of those studied had anal incontinence, and 52% had anal sphincter defects. Anal incontinence was significantly associated with sphincter injury (odds ratio 36.4, 95% confidence interval 12-114, P <.001). The FISI scores were positively correlated with increasing degrees of anal sphincter disruption (r = 0.81, P <.001). A history of operative vaginal delivery was significantly associated with anal sphincter injury (P =.023).
Anal incontinence and anal sphincter injury are common in women with other pelvic floor disorders and are significantly related. Operative vaginal delivery may contribute to unrecognized anal sphincter trauma in this population.
III</description><subject>Adult</subject><subject>Anal Canal - diagnostic imaging</subject><subject>Anal Canal - injuries</subject><subject>Anal Canal - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Delivery, Obstetric - adverse effects</subject><subject>Delivery, Obstetric - methods</subject><subject>Fecal Incontinence - epidemiology</subject><subject>Fecal Incontinence - etiology</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pelvic Floor - physiopathology</subject><subject>Severity of Illness Index</subject><subject>Ultrasonography</subject><subject>Uterine Prolapse - epidemiology</subject><subject>Uterine Prolapse - etiology</subject><subject>Uterine Prolapse - physiopathology</subject><subject>Virginia - epidemiology</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1LwzAUhoMobk7_ghRB71qTpvno7sbQKQx2o-BdSNMT1tEvk1XZvzdzheUiBw7Pm3PyIPRAcEJwLp4xSRabVYLDITRnRCYZxzRNgF2gKZGCximlX5doinGax0Jm2QTdeL878jyn12hCWMaklGKK5otW15Hvt1Vr9uCiqt0N7hBK9Ns1EO5qv416qH8qE9m661xUVr5zJTh_i66srj3cjXWGPl9fPpZv8Xqzel8u1rGhGdvHkknQnBSUppkVRAJl3NJMmNzkRejlAggDAlpbzNM8S4ksgNpCG2ZLW3A6Q0-nd3vXfQ_g96qpvIG61i10g1c8_IkKcQTnJ9C4znsHVvWuarQ7KILV0ZzCRAVz6mxO_ZtTwEL4fpwyFA2U5-ioKgCPI6C90bV1ujWVP3OchNVFSv8ASz13NQ</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>NICHOLS, Catherine Matthews</creator><creator>GILL, Edward J</creator><creator>NGUYEN, Tuc</creator><creator>BARBER, Matthew D</creator><creator>HURT, W. Glenn</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Anal sphincter injury in women with pelvic floor disorders</title><author>NICHOLS, Catherine Matthews ; GILL, Edward J ; NGUYEN, Tuc ; BARBER, Matthew D ; HURT, W. Glenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-858ea61b3324f718e356f347c9c9b32497e15e1eaaf06294218be3fbac5fdfb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Anal Canal - diagnostic imaging</topic><topic>Anal Canal - injuries</topic><topic>Anal Canal - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Delivery, Obstetric - adverse effects</topic><topic>Delivery, Obstetric - methods</topic><topic>Fecal Incontinence - epidemiology</topic><topic>Fecal Incontinence - etiology</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pelvic Floor - physiopathology</topic><topic>Severity of Illness Index</topic><topic>Ultrasonography</topic><topic>Uterine Prolapse - epidemiology</topic><topic>Uterine Prolapse - etiology</topic><topic>Uterine Prolapse - physiopathology</topic><topic>Virginia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NICHOLS, Catherine Matthews</creatorcontrib><creatorcontrib>GILL, Edward J</creatorcontrib><creatorcontrib>NGUYEN, Tuc</creatorcontrib><creatorcontrib>BARBER, Matthew D</creatorcontrib><creatorcontrib>HURT, W. 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Glenn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anal sphincter injury in women with pelvic floor disorders</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>104</volume><issue>4</issue><spage>690</spage><epage>696</epage><pages>690-696</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>1) To estimate the rate of anal incontinence and anal sphincter injury in a group of women with pelvic floor disorders; 2) to evaluate the relationship between anal incontinence and anal sphincter injury as demonstrated by endoanal ultrasonography; 3) to explore any associations between operative vaginal delivery and anal sphincter injury in this population.
A cohort of 100 women with stage II or greater pelvic organ prolapse and/or urinary incontinence completed the Rockwood-Thompson Fecal Incontinence Severity Index Questionnaire (FISI). Pelvic organ prolapse was recorded using the Pelvic Organ Prolapse Quantification system. Multichannel cystometry and endoanal ultrasonography were performed. Categorical data were compared using the chi(2) statistic. The FISI scores were correlated with degree of anal sphincter injury using the Pearson correlation coefficient (r).
Fifteen women with pelvic organ prolapse only, 28 with urinary incontinence only, and 57 with both were evaluated. Mean age (+/- standard deviation) and body mass index were 57.1 +/- 13.2 years and 29.8 +/- 6.8 kg/m(2), respectively. Median parity was 3. Fifty-four percent of those studied had anal incontinence, and 52% had anal sphincter defects. Anal incontinence was significantly associated with sphincter injury (odds ratio 36.4, 95% confidence interval 12-114, P <.001). The FISI scores were positively correlated with increasing degrees of anal sphincter disruption (r = 0.81, P <.001). A history of operative vaginal delivery was significantly associated with anal sphincter injury (P =.023).
Anal incontinence and anal sphincter injury are common in women with other pelvic floor disorders and are significantly related. Operative vaginal delivery may contribute to unrecognized anal sphincter trauma in this population.
III</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>15458887</pmid><doi>10.1097/01.AOG.0000139518.46032.e5</doi><tpages>7</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2004-10, Vol.104 (4), p.690-696 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Anal Canal - diagnostic imaging Anal Canal - injuries Anal Canal - physiopathology Biological and medical sciences Cohort Studies Delivery, Obstetric - adverse effects Delivery, Obstetric - methods Fecal Incontinence - epidemiology Fecal Incontinence - etiology Fecal Incontinence - physiopathology Female Gynecology. Andrology. Obstetrics Humans Medical sciences Middle Aged Pelvic Floor - physiopathology Severity of Illness Index Ultrasonography Uterine Prolapse - epidemiology Uterine Prolapse - etiology Uterine Prolapse - physiopathology Virginia - epidemiology |
| title | Anal sphincter injury in women with pelvic floor disorders |
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