-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Episiotomy and anal incontinence From: Jim Connerth (babydoc@apex.net) Thu Jan 6 20:43:30 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: The Home Pap Test" Previous message: Larry Glazerman: "Re: Episiotomy and anal incontinence" Maybe in reply to: Gail Waldby MD: "Episiotomy and anal incontinence" Next in thread: Bernard Cristalli: "Re: Episiotomy and anal incontinence" Several recent studies rec:overlapping technique-with better results. "D. Ashley Hill" wrote: > At Thu, 6 Jan 2000, Gail Waldby MD wrote: > > > > EPISIOTOMY INCREASES THE RISK OF ANAL > >INCONTINENCE > > Another study was reported in last month's gray journal: A prospective > cohort study of women after primary repair of obstetric anal sphincter > laceration. Kammererer-Doak DN et al. AJOG 1999;181:1317-23. > The authors compared 15 patients with a 3rd or 4th degree laceration > with 15 patients without lacerations. They found that despite the > standard "4-quadrant" repair with vicryl, that 40% of the laceration vs > 7% of the non-laceration group had documented disruption of the anal > sphincter on rectal ultrasound. In addition, at 4-months postpartum 43% > of the laceration group still reported some type of anal incontinence. > > If larger studies find similar results, we will need to reevaluate the > methods currently used to repair and subsequently treat 4th-degree > lacerations. I was taught the "4-quadrant" technique, but I wonder if > others on the list use a different method of repair. > > Ashley > D. Ashley Hill, MD > Orlando, FL Next message: DoctorJoe@aol.com: "Re: The Home Pap Test" Previous message: Larry Glazerman: "Re: Episiotomy and anal incontinence" Maybe in reply to: Gail Waldby MD: "Episiotomy and anal incontinence" Next in thread: Bernard Cristalli: "Re: Episiotomy and anal incontinence"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Dec 2 04:32:25 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.