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SAN DIEGO -- Subsequent vaginal delivery after surgically repaired rupture of the anal sphincter during childbirth increases a woman's risk of long-term anal incontinence, Dr. Johan Pollack said at the annual meeting of the American Society of Colon and Rectal Surgeons.
Even without subsequent vaginal deliveries, however, a substantial proportion of women who undergo immediate surgical repair after sustaining an anal sphincter tear during vaginal delivery will experience anal incontinence 5 years later.
This underscores the point that anal sphincter tear at vaginal delivery is a serious complication with potential long-term consequences, said Dr. Pollack of Karolinska Hospital, Stockholm.
He reported on a prospective study of 266 consecutive nulliparous women who gave birth vaginally at the Swedish hospital.
On three occasions, they filled out questionnaires assessing bowel function: prior to childbirth, again at 9 months, and 5 years after childbirth.
Overall, 14% of the women sustained an anal sphincter tear that was immediately repaired ...