Is levator trauma an independent risk factor for anal incontinence?

Melendez-Munoz, Joan; Subramanian, Navneeth; Friedman, Talia; Dietz, Hans Peter

doi:10.1111/codi.14864

Cited by 9 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Not surprisingly, the VAS is increasingly used in urogynaecology both for assessment of symptom bother and for the evaluation of impact on quality of life. [15][16][17][18] The performance of individual POPDI items and of the POPDI-6 composite score for the prediction of POP does not seem to be superior to VAS. This is not unexpected given that most items either do not address symptoms specific to POP, affecting specificity (items one and two), or address symptoms not commonly experienced by women with POP in general, affecting sensitivity (items four to six).…”

Section: Discussionmentioning

confidence: 92%

Is the Visual Analogue Scale inferior to the Pelvic Organ Prolapse Distress Inventory for assessing symptom bother of pelvic organ prolapse?

Shek

Gillor

et al. 2021

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Disease-specific validated questionnaires are used to quantify symptom severity, but they are time consuming to complete and evaluate. A Visual Analogue Scale (VAS) assessment of bother is simpler and faster. The aim of this study is to compare VAS with individual and composite pelvic floor disability index-short form 20 items in predicting significant pelvic organ prolapse (POP). Methods: A retrospective analysis of data was obtained at a tertiary urogynaecological clinic between February 2017 and August 2018. All women filled out the PFDI-20 and underwent a standardised physician-directed interview, POP-Q and translabial ultrasound. Women with symptoms of POP were asked to indicate the degree of bother using a VAS. Receiver operating characteristic curves were used to evaluate the performance of individual Pelvic Organ Prolapse Distress Inventory (POPDI)-6 items, the six-item composite POPDI-6 score, and VAS in predicting significant POP on clinical and ultrasound examination. Results:The complete data sets of 231 women were analysed. Median VAS for POP was 2.9 (range 0-10). Median POPDI-6 individual and composite scores for items one to six were 2, 2, 2, 1, 2, 0 (all range 0-4) and 9 (range 0-22), respectively.The majority had significant prolapse on clinical examination (n = 195, 84%) and on ultrasound (n = 192, 83%). The composite POPDI-6 prolapse score provided areas under the curve of 0.68 and 0.64 for the prediction of clinical and sonographic POP, compared to 0.74 and 0.69, respectively, for VAS. The difference was not significant

show abstract

Section: Discussionmentioning

confidence: 92%

Is the Visual Analogue Scale inferior to the Pelvic Organ Prolapse Distress Inventory for assessing symptom bother of pelvic organ prolapse?

Shek

Gillor

et al. 2021

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

show abstract

“…Additionally, AI was associated with several risk factors in previous studies. These include obesity, number of births, age, UI, hormonal stimulation, neonatal head circumference, anal penetrative intercourse and levator ani muscle injury [28][29][30]. During delivery, stretching and compression of the pubic nerve and its regional branches due to the factors described above are the most common causes of AI.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Pelvic Floor Dysfunction in Postpartum Period: a Cross-Section Study

Jing

Gong²,

Yang

et al. 2023

Preprint

View full text Add to dashboard Cite

Introduction: Pelvic floor dysfunction (PFD) is most commonly dysfunctions in women, it has been reported to affect 23% to 49% of women according to an epidemiological report. PFDs have many consequences, such as pain, embarrassment, social isolation, and a decreased quality of life (QOL). Thus, this study aims to understand which factors are associated with the development of postpartum pelvic floor dysfunction and determine the degree of such dysfunctions to provide theoretical and data support for clinical diagnosis and treatment of this disorder. Method: Puerperal women were recruited between September to November of 2021 by an online survey platform called WenjuanXing. And the demographic characteristics and PFDs related questionnaire were be collected and analyzed. Multivariate logistic regression analyses were conducted to identify the risk factors of postpartum PFDs in postpartum women. Result: A total of 1226 participants were included, the incidence of urinary incontinence (UI), pelvic organ prolapse (POP) and anal incontinence (AI) was 79.6%, 70.7% and 67.4%, respectively. Multivariate logistic regression analyses shown that body mass index (BMI) more than 28 (OR: 2.591, 95% CI: 1.016-6.607), gestational diabetes (OR: 1.541, 95% CI: 1.011-2.348, P=0.044), prenatal incontinence (OR: 2.63, 95% CI: 0.405-0.982), vaginal delivery (OR: 1.521, 95% CI: 0.35-0.774), episiotomy (OR: 1.595, 95% CI: 1.093-2.326) were the risk factors of postpartum UI. BMI more than 28 (OR: 2.337, 95% CI: 1.086-5.029), smoking in pregnancy (OR: 1.434, 95% CI: 0.241-0.78), vaginal delivery (OR: 1.663, 95% CI: 0.473-0.93) were the risk factors of the POP, however, BMI less than 18.5(OR: 546, 95% CI: 0.337-0.885) was considered as a protective factor for POP in statistical methods. BMI less than 18.5 (OR: 0.555, 95% CI: 0.344-0.895) was only the protective factor of Colorectal-Anal Distress Inventory (CRADI). Conclusion: According to our data, we conclude that the BMI >28, gestational diabetes, prenatal incontinence, vaginal delivery, and episiotomy are risk factors for postpartum UI. In addition to the above risk factors, smoking has also been found to be a risk factor for POP. However, we found no risk factors for AI. Additionally, we found that BMI <18.5 is a protective factor of AI and POP.

show abstract

“…Data in the literature regarding the role of PFMC in AI are inconsistent. This may be due to differences in study design, sample size, AI assessment method and the mode of PFMC measurement 29,[35][36][37] . A former study by our group, of similar design in 726 women, did not detect an association between palpatory or sonographic measures of PFMC and symptoms of AI 29 .…”

Section: Discussionmentioning

confidence: 99%