Urinary incontinence after obstetric anal sphincter injuries (OASIS)-is there a relationship?

被引:36
作者
Scheer, Inka [1 ]
Andrews, Vasanth [1 ]
Thakar, Ranee [1 ]
Sultan, Abdul H.
机构
[1] Mayday Univ Hosp, Urogynaecol Unit, Croydon CR7 7YE, England
关键词
urinary incontinence; vaginal delivery; anal sphincter tear;
D O I
10.1007/s00192-007-0431-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This study aimed to compare urinary symptoms and its impact on women's quality of life after obstetric anal sphincter injuries (OASIS) with a matched control group in the short term. The study group consisted of 100 primiparous women with OASIS and 104 controls who sustained a second-degree tear or had a mediolateral episiotomy performed. All women completed a validated International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) questionnaire 10 weeks after delivery. Compared to controls, significantly more women with OASIS reported overall urinary incontinence (21.2 vs 38%, p=0.005) and had significantly worse quality of life score (incontinence score: 2.42 vs 1.2; p=0.008). Significantly more women with OASIS suffered from stress urinary incontinence (33 vs 14%; p=0.002; OR 3.06; CI=1.54-6.07) than controls. Logistic regression analysis revealed that OASIS and a prolonged (>50 min) second stage of labour were independent risk factors for the development of stress urinary incontinence. This study highlights the importance of inquiring about urinary incontinence in women with OASIS.
引用
收藏
页码:179 / 183
页数:5
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