title: [Manometric and clinical long-term outcome after grade III perineal rupture].
abstract: OBJECTIVE
  To investigate the manometrical and clinical long-term results following a tear III.
  
  
  METHODS
  27 Primiparae with a tear III following a spontaneous vaginal delivery were retrospectively compared with 22 Primiparae without sphincter injury (follow-up: 27 months).
  
  
  METHODS
  Water-Perfusion-Manometry and clinical assessment (modified Kelly-Score). Manometric parameter (at rest and during contraction): sphinctertone and - length, vectorvolume, radial asymmetry. Wilcoxon-Text (p < 0.05).
  
  
  RESULTS
  Tear III patients showed a significant decrease in sphincter length and vector volume both at rest and during contraction. On clinical assessment there was no difference.
  
  
  CONCLUSIONS
  A tear III weakens the anal sphincter by decreasing sphincter length and vector volume. This weakness can be demonstrated only manometrically but not clinically.
authors.affiliation: Klinik und Poliklinik Für Frauenheikunde und Geburtshilfe, Klinikum Grosshadern.
authors.forename: C
authors.initials: C
authors.lastname: Anthuber
authors.forename: S
authors.initials: S
authors.lastname: Anthuber
authors.forename: B
authors.initials: B
authors.lastname: Föst
authors.forename: G
authors.initials: G
authors.lastname: Huber
authors.forename: U
authors.initials: U
authors.lastname: Janssen
authors.forename: K
authors.initials: K
authors.lastname: Maag
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D003196:Computer Graphics; D003198:Computer Simulation; D004841:Episiotomy; D005242:Fecal Incontinence / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008365:Manometry / Q000295:instrumentation; D011183:Postoperative Complications / Q000503:physiopathology*; D011247:Pregnancy; D012815:Signal Processing, Computer-Assisted
vernacular_title: Manometrische und klinische Langzeitresultate nach Dammriss III. Grades.