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Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo

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...

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Autores principales: Schütze, Sabine, Hohlfeld, Benedikt, Friedl, Thomas W. P., Otto, Stephanie, Kraft, Katrina, Hancke, Katharina, Hüner, Beate, Janni, Wolfgang, Deniz, Miriam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985110/
https://www.ncbi.nlm.nih.gov/pubmed/33258994
http://dx.doi.org/10.1007/s00404-020-05878-8
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author Schütze, Sabine
Hohlfeld, Benedikt
Friedl, Thomas W. P.
Otto, Stephanie
Kraft, Katrina
Hancke, Katharina
Hüner, Beate
Janni, Wolfgang
Deniz, Miriam
author_facet Schütze, Sabine
Hohlfeld, Benedikt
Friedl, Thomas W. P.
Otto, Stephanie
Kraft, Katrina
Hancke, Katharina
Hüner, Beate
Janni, Wolfgang
Deniz, Miriam
author_sort Schütze, Sabine
collection PubMed
description 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.
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spelling pubmed-79851102021-04-12 Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo Schütze, Sabine Hohlfeld, Benedikt Friedl, Thomas W. P. Otto, Stephanie Kraft, Katrina Hancke, Katharina Hüner, Beate Janni, Wolfgang Deniz, Miriam Arch Gynecol Obstet General Gynecology 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. Springer Berlin Heidelberg 2020-12-01 2021 /pmc/articles/PMC7985110/ /pubmed/33258994 http://dx.doi.org/10.1007/s00404-020-05878-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle General Gynecology
Schütze, Sabine
Hohlfeld, Benedikt
Friedl, Thomas W. P.
Otto, Stephanie
Kraft, Katrina
Hancke, Katharina
Hüner, Beate
Janni, Wolfgang
Deniz, Miriam
Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title_full Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title_fullStr Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title_full_unstemmed Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title_short Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
title_sort fishing for (in)continence: long-term follow-up of women with oasis–still a taboo
topic General Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985110/
https://www.ncbi.nlm.nih.gov/pubmed/33258994
http://dx.doi.org/10.1007/s00404-020-05878-8
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