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HOLLYWOOD, FLA. -- Anatomic anal sphincter injury from vaginal childbirth is significantly associated with anal incontinence and stage IV pelvic organ prolapse, according to a study presented at the annual meeting of the American Urogynecologic Association.
"What is new about this study is that no one has evaluated the etiology of anal incontinence in women with prolapse and/or urinary incontinence," said Dr. Catherine M. Nichols of Virginia Commonwealth University, Richmond.
Historically, neuropathic injury was implicated as the likely cause of anal incontinence. "But what we found was that there is evidence of anatomic anal sphincter injury in the majority…