Relationship between episiotomy and fecal incontinence after delivery

Background: Fecal incontinence is an embarrassing problem and decreases the woman’s quality of life. The literature has shown that women with obstetric trauma especially by episiotomy had damaged anal sphincter (Internal and External). We aimed to find the role of episiotomy in the fecal incontinenc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hajar Khazraei, Seyed Vahid Hosseini, Mozhdeh Zamani, Ahmed Al-Hurry, Masoumeh Rahimi, Leila Ghahramani, Fahimeh Haji Hosseini
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	episiotomy anal fecal incontinence iran Medicine R
Acceso en línea:	https://doaj.org/article/a30b863e1343480aa4427bc573040e61
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a30b863e1343480aa4427bc573040e61
record_format	dspace
spelling	oai:doaj.org-article:a30b863e1343480aa4427bc573040e612021-11-14T08:12:17ZRelationship between episiotomy and fecal incontinence after delivery2783-243010.30476/acrr.2020.87186.1054https://doaj.org/article/a30b863e1343480aa4427bc573040e612020-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46947_29346fa8ed3790366854408459aee5a7.pdfhttps://doaj.org/toc/2783-2430Background: Fecal incontinence is an embarrassing problem and decreases the woman’s quality of life. The literature has shown that women with obstetric trauma especially by episiotomy had damaged anal sphincter (Internal and External). We aimed to find the role of episiotomy in the fecal incontinence in women after delivery. Methods: In this study, 71 females with previous vaginal deliveries were investigated by endoanal ultrasonography. The degree of FI was measured using the incontinence score of Wexner. The number of episiotomies was measured for each patient. Results: The mean Wexner score was 9.0±0.7 in the incontinent patients. The mean of normal vaginal delivery was 3.48±0.3 and 33.8% of the patients whom had a history of hemorrhoidectomy. Of patients, 70% had undergone one or more prior episiotomies during their deliveries. Conclusion: Episiotomy could be one of the risk factors in fecal incontinence but we did not find any significant difference in Wexner score between patients with or without episiotomy. Endoanal sonography seems an effective tool to evaluate and prediction of anal injury during episiotomy in some critical cases.Hajar KhazraeiSeyed Vahid HosseiniMozhdeh ZamaniAhmed Al-HurryMasoumeh RahimiLeila GhahramaniFahimeh Haji HosseiniShiraz University of Medical Sciencesarticleepisiotomyanalfecal incontinenceiranMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 3, Pp 136-140 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	episiotomy anal fecal incontinence iran Medicine R
spellingShingle	episiotomy anal fecal incontinence iran Medicine R Hajar Khazraei Seyed Vahid Hosseini Mozhdeh Zamani Ahmed Al-Hurry Masoumeh Rahimi Leila Ghahramani Fahimeh Haji Hosseini Relationship between episiotomy and fecal incontinence after delivery
description	Background: Fecal incontinence is an embarrassing problem and decreases the woman’s quality of life. The literature has shown that women with obstetric trauma especially by episiotomy had damaged anal sphincter (Internal and External). We aimed to find the role of episiotomy in the fecal incontinence in women after delivery. Methods: In this study, 71 females with previous vaginal deliveries were investigated by endoanal ultrasonography. The degree of FI was measured using the incontinence score of Wexner. The number of episiotomies was measured for each patient. Results: The mean Wexner score was 9.0±0.7 in the incontinent patients. The mean of normal vaginal delivery was 3.48±0.3 and 33.8% of the patients whom had a history of hemorrhoidectomy. Of patients, 70% had undergone one or more prior episiotomies during their deliveries. Conclusion: Episiotomy could be one of the risk factors in fecal incontinence but we did not find any significant difference in Wexner score between patients with or without episiotomy. Endoanal sonography seems an effective tool to evaluate and prediction of anal injury during episiotomy in some critical cases.
format	article
author	Hajar Khazraei Seyed Vahid Hosseini Mozhdeh Zamani Ahmed Al-Hurry Masoumeh Rahimi Leila Ghahramani Fahimeh Haji Hosseini
author_facet	Hajar Khazraei Seyed Vahid Hosseini Mozhdeh Zamani Ahmed Al-Hurry Masoumeh Rahimi Leila Ghahramani Fahimeh Haji Hosseini
author_sort	Hajar Khazraei
title	Relationship between episiotomy and fecal incontinence after delivery
title_short	Relationship between episiotomy and fecal incontinence after delivery
title_full	Relationship between episiotomy and fecal incontinence after delivery
title_fullStr	Relationship between episiotomy and fecal incontinence after delivery
title_full_unstemmed	Relationship between episiotomy and fecal incontinence after delivery
title_sort	relationship between episiotomy and fecal incontinence after delivery
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/a30b863e1343480aa4427bc573040e61
work_keys_str_mv	AT hajarkhazraei relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT seyedvahidhosseini relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT mozhdehzamani relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT ahmedalhurry relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT masoumehrahimi relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT leilaghahramani relationshipbetweenepisiotomyandfecalincontinenceafterdelivery AT fahimehhajihosseini relationshipbetweenepisiotomyandfecalincontinenceafterdelivery
_version_	1718429795576971264

Relationship between episiotomy and fecal incontinence after delivery

Ejemplares similares