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Related Experiment Videos

Anal function following third degree tears.

N Mackenzie1, L Parry, M Tasker

  • 1Royal Bolton Hospital, Bolton, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|March 11, 2004
PubMed
Summary
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Most women with third-degree perineal tears have good anal function post-childbirth. Routine assessment helps identify those with significant symptoms, but no major management changes are needed.

Area of Science:

  • Obstetrics and Gynecology
  • Pelvic Floor Disorders
  • Surgical Outcomes

Background:

  • Third-degree perineal tears are significant obstetric injuries.
  • Assessing anal function post-tear is crucial for patient well-being.

Purpose of the Study:

  • To evaluate anal function in women after third-degree perineal tear repair.
  • To correlate symptoms with objective findings.

Main Methods:

  • Prospective assessment of 53 women at 3 months postpartum.
  • Utilized Cleveland Clinic Incontinence Score, digital rectal examination, and endo-anal ultrasound.

Main Results:

  • 75% reported no anal incontinence symptoms; 25% reported mild to severe symptoms.

Related Experiment Videos

  • Endo-anal ultrasound showed normal sphincters in 66%, external sphincter abnormality in 29%, and defects in 2%.
  • Poor correlation observed between reported symptoms and ultrasound findings.

    • Conclusions:

    • Anal incontinence incidence is not high following third-degree tear repair.
    • Routine functional assessment is valuable for identifying symptomatic women.
    • Current management policies appear adequate.