An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

Sultan, Abdul H.; Monga, Ash; Lee, Joseph; Emmanuel, Anton; Norton, Christine; Santoro, Giulio Aniello; Hull, Tracy L.; Berghmans, Bary; Brody, Stuart; Haylen, Bernard T.

doi:10.1007/s00192-016-3140-3

Cited by 105 publications

(182 citation statements)

References 121 publications

(41 reference statements)

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“…4. Anal signs Abdominal signs Bladder fullness/retention: abdominal palpation or suprapubic percussion may indicate a full bladder; however, in overweight patients this may not be easily detected. Pelvic bone irregularities: indication of a previous fracture or sacral agenesis. 6.…”

Section: Assessmentmentioning

confidence: 99%

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An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction

Bø

Frawley

Haylen

et al. 2016

Neurourology and Urodynamics

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Introduction and hypothesis There has been an increasing need for the terminology on the conservative management of female pelvic floor dysfunction to be collated in a clinically based consensus report. Methods This Report combines the input of members and elected nominees of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by many external referees. An extensive process of nine rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Before opening up for comments on the webpages of ICS and IUGA, five experts from physiotherapy, neurology, urology, urogynecology, and nursing were invited to comment on the paper. Results A Terminology Report on the conservative management of female pelvic floor dysfunction, encompassing over 200 separate definitions, has been developed. It is clinically based, with the most common symptoms, signs, assessments, diagnoses, and treatments defined. Clarity and ease of use have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Ongoing review is not only anticipated, but will be required to keep the document updated and as widely acceptable as possible. Conclusion A consensus-based terminology report for the conservative management of female pelvic floor dysfunction has been produced, aimed at being a significant aid to clinical practice and a stimulus for research.

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Section: Assessmentmentioning

confidence: 99%

“… Local (fissures, hemorrhoids) Fecal incontinence Obstructed defecation syndrome Rectocele Enterocele/sigmoidocele Intussusception Internal mucosal prolapse Abscess/fistula …”

Section: Diagnosesmentioning

confidence: 99%

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction

Bø

Frawley

Haylen

et al. 2016

Neurourology and Urodynamics

Self Cite

286

310

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“…11 The women were categorized into four groups according to parity, mode of delivery, and OASIS; nulliparous women, women who had delivered by CS only, women with one or more VD with no OASIS, and women with one or more VD with OASIS. Flatus incontinence was defined as any involuntarily loss of flatus (gas) weekly or more frequently during the previous month.…”

Section: Materials and Me Thodsmentioning

confidence: 99%

“…8 Anal continence is a complex physiological mechanism dependent on factors such as bowel disease, bowel habits, cortical awareness, integrity of the pelvic floor muscles, and the anal sphincter muscles in particular, as well as a number of psychological factors. 11 Previous studies have reported that a disturbance in bowel habits and pelvic floor disorders such as AI, fecal urgency, constipation, and pelvic organ prolapse often co-occur, and the quality of life of women experiencing more than one pelvic floor disorder is affected. Fecal urgency is defined as having difficulty deferring a sudden or compelling desire to defecate.…”

Section: Introductionmentioning

confidence: 99%

Anal incontinence after vaginal delivery or cesarean section

Schei

Johannessen

Rydning

et al. 2018

Acta Obstet Gynecol Scand

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“…Obstetric anal sphincter injuries (OASIS) are serious complications to vaginal deliveries, with a 50% long‐term risk of anal incontinence, that is, involuntary loss of feces or flatus . In Norway, a National prevention program aiming at reducing the incidence of OASIS was initiated in 2004.…”

Section: Introductionmentioning

confidence: 99%

Changing incidence of obstetric anal sphincter injuries—A result of formal prevention programs?

Jangö

Westergaard

Kjærbye‐Thygesen

et al. 2019

Acta Obstet Gynecol Scand

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Introduction Obstetric anal sphincter injuries (OASIS) are serious complications to vaginal delivery causing anal incontinence in 50% of the women in the long term. In Norway, the incidence of OASIS has been significantly reduced from 4%‐5% to 1%‐2% after implementation of prevention programs focusing on perineal protection. The aim of our study was to evaluate whether implementation of formal prevention programs was associated with a reduced incidence of OASIS over time. Material and methods We performed a historical cohort study, evaluating incidence, change of incidence and risk factors of OASIS during the years 2011‐2015 at the four delivery departments in the Capital Region of Denmark. Two of the four departments implemented formal prevention programs in 2012‐2013. We performed trend tests and uni‐ and multivariable analyses, adjusting for important risk factors and calculating interactions between risk factors. Results There were 75 173 vaginal deliveries during the study period; of those, 2670 (3.6%) were complicated by OASIS. The incidence of OASIS decreased during the study period from 4.3% (n = 636) in 2011 to 2.6% (n = 399) in 2015. There was a significant decrease in the incidence of OASIS at both the departments with formal prevention programs and those without. After adjustment for other important risk factors of OASIS, we found no significant difference in the risk reduction between departments with and without formal prevention programs. Conclusions We found that the general focus on prevention of OASIS in Denmark was associated with a significant decrease in the incidence of OASIS, but implementation of formal prevention programs did not lead to a further reduction. It is possible that more rigorous interventions at the hospitals with formal prevention programs could have resulted in a significant difference in incidence of OASIS.

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An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

Abstract: Introduction:The terminology for anorectal dysfunction in women has long been in

Cited by 105 publications

References 121 publications

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction

Anal incontinence after vaginal delivery or cesarean section

Changing incidence of obstetric anal sphincter injuries—A result of formal prevention programs?

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