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Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

Baud, David ; Meyer, Sylvain ; Vial, Yvan ; Hohlfeld, Patrick ; Achtari, Chahin

In: International Urogynecology Journal, 2011, vol. 22, no. 9, p. 1127-1134

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    Titre
    • Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery
    Auteur
    • Baud, David. Department of Obstetrics and Gynecology, University Hospital of Lausanne, Maternity-CHUV, 1011, Lausanne, Switzerland
    • Meyer, Sylvain. Department of Obstetrics and Gynecology, University Hospital of Lausanne, Maternity-CHUV, 1011, Lausanne, Switzerland
    • Vial, Yvan. Department of Obstetrics and Gynecology, University Hospital of Lausanne, Maternity-CHUV, 1011, Lausanne, Switzerland
    • Hohlfeld, Patrick. Department of Obstetrics and Gynecology, University Hospital of Lausanne, Maternity-CHUV, 1011, Lausanne, Switzerland
    • Achtari, Chahin. Department of Obstetrics and Gynecology, University Hospital of Lausanne, Maternity-CHUV, 1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Urogynecology Journal, 2011, vol. 22, no. 9, p. 1127-1134. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:317302
    Summary
    Introduction and hypothesis: This study aims to estimate fecal, urinary incontinence, and sexual function 6 years after an obstetrical anal sphincter tear. Methods: Among 13,213 women who had a vaginal delivery of a cephalic singleton at term, 196 women sustained an anal sphincter tear. They were matched to 588 controls. Validated questionnaires grading fecal and urinary incontinence, and sexual dysfunction were completed by the participants. Results: Severe fecal incontinence was more frequently reported by women who had sustained an anal sphincter tear compared to the controls. Women with an anal sphincter tear had no increased risk of urinary incontinence, but reported significantly more pain, difficulty with vaginal lubrication, and difficulty achieving orgasm compared to the controls. A fetal occiput posterior position during childbirth was an independent risk factor for both severe urinary incontinence and severe sexual dysfunction. Conclusions: Fecal incontinence is strongly associated with an anal sphincter tear. A fetal occiput posterior position represents a risk factor for urinary incontinence and sexual dysfunction