[Manometric and clinical long-term outcome after grade III perineal rupture].
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.
Anthuber
C
C
Klinik und Poliklinik Für Frauenheikunde und Geburtshilfe, Klinikum Grosshadern.
Anthuber
S
S
Föst
B
B
Huber
G
G
Janssen
U
U
Maag
K
K
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
Manometrische und klinische Langzeitresultate nach Dammriss III. Grades.