Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
| Autor: | Katrina Kraft, Beate Hüner, Benedikt Hohlfeld, K. Hancke, Stephanie Otto, Thomas W. P. Friedl, Wolfgang Janni, S Schütze, Miriam Deniz |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Quality of life Stress incontinence medicine.medical_specialty Urinary system media_common.quotation_subject Urinary incontinence Anal Canal Physical examination Pelvic Floor Disorders Young Adult 03 medical and health sciences 0302 clinical medicine Flatus incontinence Pregnancy Germany Surveys and Questionnaires medicine Humans 030212 general & internal medicine Pelvic floor function media_common 030219 obstetrics & reproductive medicine Pelvic floor medicine.diagnostic_test OASIS business.industry Taboo Obstetrics and Gynecology Puerperal Disorders General Medicine Delivery Obstetric medicine.disease Long-term outcome body regions medicine.anatomical_structure Physical therapy Sphincter Female General Gynecology medicine.symptom Sexual function business Follow-Up Studies |
| Zdroj: | Archives of Gynecology and Obstetrics |
| ISSN: | 1432-0711 0932-0067 |
| Popis: | Purpose Obstetric anal sphincter injuries (OASIS) increase the risk for pelvic floor dysfunctions. The goal of this study was to examine the long-term outcomes after OASIS on pelvic floor functions and quality of life. Material and methods Between 2005 and 2013, 424 women had an OASIS at the Women University Hospital Ulm. Out of these 71 women completed the German pelvic floor questionnaire, which includes questions regarding prolapse symptoms as well as bladder, bowel and sexual function. In addition, 64 women were physically examined, including a speculum examination to evaluate the degree of prolapse, a cough test to evaluate urinary stress incontinence (SI) and an evaluation of both pelvic floor sphincter (modified Oxford score) and anal sphincter contraction. Results A high rate of pelvic floor disorders after OASIS was found, as 74.6% of women reported SI, 64.8% flatus incontinence and 18.3% stool incontinence, respectively. However, only few women stated a substantial negative impact on quality of life. The clinical examination showed that a positive cough test, a weak anal sphincter tone and a diagnosed prolapse correlated with the results of the self-reported questionnaire. Conclusion On one hand, OASIS has an influence on pelvic floor function going along with lots of complaints, while on the other hand, it still seems to be a taboo topic, as none of the participants spoke about the complaints after OASIS with a doctor. Therefore, the gynecologist should actively address these issues and offer therapy options for the women with persisting problems. |
| Databáze: | OpenAIRE |
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