Int J Colorectal Dis (2017) 32:1321–1325 DOI 10.1007/s00384-017-2851-3 ORIGINAL ARTICLE A retrospective review of 1495 patients with obstetric anal sphincter injuries referred for assessment of function and endoanal ultrasonography 1 1 1 1 G. P. Thomas & L. E. Gould & F. Casunuran & D. A. Kumar Accepted: 22 June 2017 /Published online: 7 July 2017 Springer-Verlag GmbH Germany 2017 Abstract Keywords Obstetric anal sphincter injury Faecal Aim Obstetric anal sphincter injuries are a significant risk fac- incontinence Sphincter repair tor for faecal incontinence. Correct identification and success- ful primary repair are important. The aim of this study was to review the outcome of all patients, with an obstetric anal Introduction sphincter injury, referred to our unit. Method This is a retrospective review of 1495 patients over a Obstetric perineal tears can be classified into four grades . 12-year period. All had a third or fourth degree tear and were The most severe are the latter two grades, also known as referred at 4-months postpartum. obstetric anal sphincter injuries. Grade three refers to en- Results Endoanal ultrasonography demonstrated residual croachment into the anal sphincter complex, and grade four sphincter defect in 792 (53%) and normal sphincters, with no refers
International Journal of Colorectal Disease – Springer Journals
Published: Jul 7, 2017
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