Author/Authors
balsak, deniz haliç üniversitesi - tıp fakültesi - kadın doğum bölümü, turkey , töz, emrah ege doğumevi ve kadın hastalıkları eğitim ve araştırma hastanesi, Turkey , yildirim, yusuf erzincan üniversitesi - tıp fakültesi - kadın doğum bölümü, turkey , tinar, şivekar ege doğumevi ve kadın hastalıkları eğitim ve araştırma hastanesi, turkey
Title Of Article
SUCCESSFUL TREATMENT OF A CASE OF ANAL INCONTINENCE DUE TO OBSTERIC INJURY USİNG ‘ANTERIOR OVERLAPPING SPHINCTEROPLASTY
شماره ركورد
42297
Abstract
Anal incontinence means inability to control the releaseof flatus or stool. Fecal incontinence is one of the mostfeared complications of vaginal delivery. It may be theconsequence of sphincter tears, of pudendal neuropathy,or of a combination of the two. The prevalence offecal incontinence varies depending on the populationstudied. In one population-based, age-stratified postalsurvey of women aged 30 to 90 years, the prevalenceof fecal incontinence (defined as at least monthly lossof liquid or solid stool) was 7.7 percent. At three to sixmonths after vaginal or cesarean delivery, as many as13 to 25 percent of women report fecal incontinence. However, the prevalence falls to 1 to 6 percent by 12months. Fecal incontinence has a significant impact onquality of life. Most important cause of incontinence isobstetric trauma in women. The incidence of perinealtear with anal sphincteric defect varies from 1-9% andthe incidence of unrecognized sphincter injury may beas high as 18-35%. Pudendal neuropathy is caused bynerve stretch during pushing in the second stage oflabor and descent of the fetal head; it may occur evenwith the first delivery. Risk factors for sphincter injuryand pudendal neuropathy include forceps delivery, largeneonatal size, and prolonged second stage of labor.The risk of fecal incontinence must be considered evenduring the first pregnancy. Routine episiotomy doesnot prevent sphincter injury and may even predisposeto it. Therapeutic management of the women with analincontinence should be based on underlying etiology.Medical treatment, recommended as initial approach, israrely effective. Half the women who undergo primaryanal sphincter repair have short or long term continenceproblems. In this study we present a case of anal incontinencedue to obstetric injury who was successfullytreated using ‘anterior overlapping sphincteroplasty.
From Page
114
NaturalLanguageKeyword
Anal Canal , Obstetric Labor, Complications
JournalTitle
Kocatepe Medical Journal
To Page
118
JournalTitle
Kocatepe Medical Journal
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