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Third Degree Obstetric Tears; Outcome After Primary Repair by Hege Gjessing; Bjørn Backe; Ylva Sahlin is a Medicine article available to read on EtoBox.

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## Background: Disruption of the anal sphincter occurs in 0.5 to 2.5% of women during delivery. defects of the sphincter are major causes of fecal incontinence. more than 30% of women who suffer from third degree perineal tears develop incontinence. we sought to determine the incidence of symptoms and injury to the anal sphincter among women who gave birth during a 5 year period. we also investigated the sensitivity of manometry and endosonography as well as the correlation of these two diagnostic modalities. ## Methods: Thirty-eight women were examined one to five years after delivery. we used a questionnaire to assess symptoms of anal incontinence. anal manometry and endosonography were performed. ## Results: Twenty (57%) women had symptoms; most of them (34%) in the form of flatulence incontinence. the rest were incontinent of either liquid or solid stools. four of these women were re-operated. seventeen percent of the women suffered from anal incontinence during sexual intercourse. only seven women had been in contact with a doctor regarding these problems. ## Conclusion: The fact that 57% of the women that took part in this study reported complications, leads us to the conclus

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Author

Hege Gjessing; Bjørn Backe; Ylva Sahlin

Publisher

Informa plc; Wiley (Blackwell Publishing); Wiley-Blackwell; Wiley (ISSN 0001-6349)

Published

1998

Language

EN

Field

Medicine (Health Sciences)