title: Evaluation of long-term pelvic floor symptoms after an obstetric anal sphincter injury (OASI) at least one year after delivery: A retrospective cohort study of 159 cases.
abstract: OBJECTIVE
  The aim of this study was to assess long-term pelvic floor symptoms after an obstetric anal sphincter injury (OASI).
  
  
  METHODS
  This retrospective cohort study included 237 cases of OASI (0.86% of deliveries) identified at Poitiers University Hospital between 2000 and 2011. Symptoms were assessed using validated self-administered questionnaires, including Female Pelvic Floor Questionnaire, Pescatori anal incontinence score, EuroQoL five-dimension score, and pain visual analogue scale (VAS).
  
  
  RESULTS
  One hundred and sixty women (67%) filled out the questionnaires, on average 46 months after delivery (8-152). Among them, 93 (54%) reported at least one symptom occurring "frequently" (the most common being dyspareunia), and 45 (28%) a symptom occurring "daily" (the most common being flatus incontinence). Anal incontinence was reported by 32 (20%) women, flatus incontinence "frequently" or "daily" by 28 (18%), and stool incontinence "frequently" or "daily" by 9 (6%). Urinary incontinence was reported "frequently" or "daily" by 27 women (17%) at stress, 17 (11%) at urge, and 11 (7%) at mixed circumstances. Prolapse symptoms were reported "frequently" or "daily" by 6 women (4%). Pain during intercourse was reported "frequently" or "daily" by 17 women (11%). Twenty-four women (18%) reported chronic pelvic pain (VAS score≥4/10). Ninety-five percent of women reported a normal quality of life for mobility, self-care, and usual activities; however, alterations in pain/discomfort (32%) and anxiety/depression (33%) domains were frequently reported.
  
  
  CONCLUSIONS
  Pelvic floor symptoms 4 years after OASI were highly prevalent.
authors.affiliation: Université de Poitiers, CHU de Poitiers, 86021 Poitiers, France; Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France. Electronic address: david.desseauve@univ-poitiers.fr.
authors.forename: D
authors.initials: D
authors.lastname: Desseauve
authors.affiliation: Université de Poitiers, CHU de Poitiers, 86021 Poitiers, France; Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France.
authors.forename: S
authors.initials: S
authors.lastname: Proust
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France.
authors.forename: C
authors.initials: C
authors.lastname: Carlier-Guerin
authors.affiliation: Université de Poitiers, CHU de Poitiers, 86021 Poitiers, France.
authors.forename: C
authors.initials: C
authors.lastname: Rutten
authors.affiliation: Université de Poitiers, CHU de Poitiers, 86021 Poitiers, France; Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France.
authors.forename: F
authors.initials: F
authors.lastname: Pierre
authors.affiliation: Université de Poitiers, CHU de Poitiers, 86021 Poitiers, France; Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France.
authors.forename: X
authors.initials: X
authors.lastname: Fritel
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000293:injuries*; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000009:adverse effects*; D004414:Dyspareunia / Q000453:epidemiology; D005242:Fecal Incontinence / Q000453:epidemiology; D005260:Female; D005414:Flatulence / Q000453:epidemiology; D006801:Humans; D017773:Pelvic Floor; D059952:Pelvic Floor Disorders / Q000453:epidemiology / Q000209:etiology*; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology; D055815:Young Adult
keywords: Floor; OASI; Outcome; Pelvic; Post-partum; Postnatal; Périnée; Périnée complet; Questionnaire; Symptomatologie