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Obstetric damage and faecal incontinence

M A Kamm1

  • 1St Mark's Hospital, London, UK.

Lancet (London, England)
|September 10, 1994
PubMed
Summary
This summary is machine-generated.

Anal incontinence affects many adults, often caused by childbirth injuries to the anal sphincter. Recognizing and repairing this damage improves treatment outcomes for affected women.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Anal incontinence affects up to 11% of adults, impacting quality of life.
  • Childbirth is a significant cause of anal sphincter damage, particularly in women undergoing vaginal delivery.
  • Forceps delivery and third-degree tears are associated with a high incidence of persistent structural defects and symptoms.

Purpose of the Study:

  • To highlight the prevalence and common causes of anal incontinence.
  • To emphasize the role of childbirth-related anal sphincter damage.
  • To discuss the impact of characterizing sphincter damage on treatment strategies.

Main Methods:

  • Review of epidemiological data on anal incontinence prevalence.
  • Analysis of obstetric factors contributing to anal sphincter injury.

Related Experiment Videos

  • Correlation of structural sphincter defects with symptomatic outcomes post-childbirth.

    • Main Results:

    • Anal incontinence affects up to 11% of adults, with 2% experiencing frequent symptoms.
    • 13% of women develop incontinence or urgency after their first vaginal delivery, with 30% showing structural changes.
    • 85% of women with third-degree tears have persistent sphincter defects, and 50% remain symptomatic despite repair.

    Conclusions:

    • Unrecognized anal sphincter damage during childbirth is a primary cause of anal incontinence in women.
    • Structural damage from childbirth is more significant than neurological factors in this population.
    • Improved characterization of sphincter damage has led to advancements in surgical repair and treatment.