| Popis: |
Background. To evaluate the current anal sphincter function, the frequency of urinary incontinence and of dyspareunia in patients with earlier anal sphincter rupture following vaginal delivery. Design. Retrospective case-control study between 1994 and 1999 at the Central Hospital of Helsingborg, Sweden. Participants. Two hundred and eighteen women with a history of obstetric anal sphincter rupture and 436 matched controls. Methods. Postal questionnaire regarding anal incontinence, urinary incontinence, dyspareunia and lifestyle alterations. Obstetric data were collected from hospital records. Results. Of the 654 women included , 534 (82%) responded at a median follow up of 4 ears. Anal incontinence was significantly more common among patients with sphincter rupture. Sixty-one (33%) reported incontinence of flatus and 39 (21%) incontinence of liquid stools compared with 53 (15%) and 26 (7%) in the control group. Dyspareunia was reported by 26 (14%) patients and 20 (6%) controls. The symptoms of dyspareunia... |
