Abstract:
INTRODUCTION AND HYPOTHESIS:The true incidence of obstetric anal sphincter injuries (OASI) among Asian primigravida is not known. This study aimed to evaluate OASI in Sri Lankan primigravida. METHODS:One hundred and one consecutive primigravida in their last trimester were recruited from antenatal clinics at a tertiary care centre in Sri Lanka and followed up 6 weeks and 6 months after delivery. They were assessed using anorectal manometry (3D-ARM) and endoanal ultrasound (3D-EAUS) on both occasions. RESULTS:Seventy-three (75.3 %) had vaginal delivery without instrumentation, whereas 3 (3.1 %) each delivered using forceps or vacuum. Twelve (12.4 %) had emergency caesarean sections and 6 (6.2 %) had elective caesarean sections. None had clinically identified anal sphincter injuries. EAUS identified IAS defects in 3 (5.1 %) and EAS defects in 28 (47.5 %). Both resting (p = 0.3) and squeeze (p = 0.001) pressures had decreased following childbirth. Multivariate analysis identified antepartum RP and postpartum EAS defects to be associated with RP reduction (χ(2)(4)=17.825, p < 0.0005) and antepartum SP and postpartum EAS defects to be associated with SP reduction (χ(2)(5)=31.517, p < 0.0005). Episiotomy was protective, whereas delivering after 40 weeks' gestation and delivering a baby with a longer length increased the risk of SP reduction. EAS defects (χ(2) (6)=23.502, p = .001) were more common in mothers who had labour augmented by oxytocin and in those who delivered a baby with a larger head circumference. Labour induction and delivering a longer baby were protective for EAS defects. CONCLUSIONS:Several risk and protective factors for the structural and functional damage of sphincters were identified. These findings will help to formulate a policy to minimize future obstetric anal sphincter injuries.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Wickramasinghe DP,Senaratne S,Senanayake H,Samarasekera DNdoi
10.1007/s00192-016-2986-8subject
Has Abstractpub_date
2016-09-01 00:00:00pages
1375-81issue
9eissn
0937-3462issn
1433-3023pii
10.1007/s00192-016-2986-8journal_volume
27pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:The posterior approach to sacrospinous hysteropexy has been well studied but little is known about the anterior approach. This study assessed the efficacy and complications of an anterior approach to sacrospinous hysteropexy compared to hysterectomy with apical repair. We hypothesized that a...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2021-01-13 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:At our institution many symptomatic patients must wait months or years for surgery. Our aim was to determine the rates of clinically significant pelvic organ prolapse (POP) progression and identify risk factors associated with POP progression. METHODS:Data from a prospectively maintained da...
journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:Our goal was to identify correlates of maximum urethral closure pressure (MUCP) and MUCP as a diagnostic test for stress urinary incontinence (SUI). METHODS:This study was a retrospective review of women with non-neurological referrals for urinary incontinence between1995 and 2006. RESULTS...
journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attem...
journal_title:International urogynecology journal
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更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical managemen...
journal_title:International urogynecology journal
pub_type: 杂志文章
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abstract:INTRODUCTION AND HYPOTHESIS:Several modifications of sacrospinous ligament fixation (SLF) are described. METHODS:This study presents a standardised SLF technique. Perioperative course and outcome are compared retrospectively after surgery is performed by experienced surgeons or by residents. RESULTS:Two hundred three...
journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:We provide a review of the literature about the onset and development of hypertrophy of the labia minora, together with some expert opinions on the appropriateness of labiaplasty. METHODS:We searched PubMed and used popular search engines, with a greater emphasis on the physiology and hormo...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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abstract:INTRODUCTION AND HYPOTHESIS:This study aimed to explore gene expression and their regulatory mechanisms in etiology of stress urinary incontinence (SUI). METHODS:Tissue samples were taken from the paraurethral vaginal wall from three pairs of postmenopausal, age/body mass index/parity-matched SUI, and continent women ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1222-1
更新日期:2010-12-01 00:00:00
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更新日期:2020-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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abstract:INTRODUCTION AND HYPOTHESIS:The objective of the study was to compare office rigid cystoscopy (RC) versus flexible cystoscopy (FC) in women. METHODS:This was a prospective randomized trial comparing FC to RC. Aims were to assess 1-week post-procedural complications, compare procedure pain scores, and to assess physici...
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pub_type: 杂志文章,随机对照试验
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更新日期:2012-11-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2010-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3560-3
更新日期:2018-10-01 00:00:00
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更新日期:2020-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-011-1375-6
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Minimally invasive sacral colpopexy has increased over the past decade, with many senior physicians adopting this new skill set. However, skill acquisition at an academic institution in the presence of postgraduate learners is not well described. This manuscript outlines the introduction of ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2085-z
更新日期:2013-11-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1498-9
更新日期:2012-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1069-5
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abstract:INTRODUCTION AND HYPOTHESIS:Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1752-9
更新日期:2012-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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更新日期:2017-09-01 00:00:00
abstract::Many properties of polypropylene mesh that are causative in producing the complications that our patients are experiencing were published in the literature prior to the marketing of most currently used mesh configurations and mesh kits. These factors were not sufficiently taken into account prior to the sale of these ...
journal_title:International urogynecology journal
pub_type: 历史文章,杂志文章
doi:10.1007/s00192-011-1399-y
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy of double-J stenting as an initial procedure to manage ureteral injuries detected late after gynecological surgery. METHODS:Eight patients whom the insertion of double-J stent was done primarily were evaluated. Medical records were investigated retrospectively. RES...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1092-6
更新日期:2010-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2095-x
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:Previous studies have included a limited number of randomized controlled trials (RCTs) and compared limited parameters after treatment with imidafenacin and other anticholinergic drugs (ADs) for overactive bladder syndrome (OAB), and controversy about the superiority of these ADs still remains. We aim to update...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04329-x
更新日期:2020-05-14 00:00:00
abstract:OBJECTIVES:To report 12-year experience with replacing transvaginal mesh (TVM) with fascia lata autograft. METHODS:This was a chart review of TVM removal and replacement with a fascia lata autograft placement by a single surgeon between 2005 and 2017. The Pelvic Organ Prolapse Quantification (POP-Q) system before and ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03957-2
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Avulsion of the puborectalis muscle from its bony insertion is common in women presenting with prolapse. We present a simple vaginal technique for levator reconstruction. METHODS:This is a prospective surgical pilot study comprising 17 patients enrolled to undergo levator repair in the cont...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1984-8
更新日期:2013-06-01 00:00:00