The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage

KARGIN, SÜLEYMAN; KADIYORAN, CENGİZ; KAYNAK, Adnan; ATASEVEN, Hüseyin; CIFCI, Sami; CAKIR, Murat

The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage

Süleyman KARGIN, (Medova Private Hospital, Clinic of General Surgery, Konya, Turkey)

Sami CIFCI, (Karaman State Hospital, Clinic of Gastroenterology, Karaman, Turkey)

Adnan KAYNAK, (Necmettin Erbakan University Meram Faculty of Medicine, Department of General Surgery, Konya, Turkey)

Hüseyin ATASEVEN, (Necmettin Erbakan University Meram Faculty of Medicine, Department of Gastroenterology, Konya, Turkey)

Cengiz KADIYORAN, (Medova Private Hospital, Clinic of Radiology, Konya, Turkey)

Murat ÇAKIR (Necmettin Erbakan University Meram Faculty of Medicine, Department of General Surgery, Konya, Turkey)

Turkish Journal of Obstetrics and Gynecology

1 0

Yıl: 2017 Cilt: 14 Sayı: 1 Sayfa Aralığı: 37 - 44 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage

Öz:

Amaç: Obstetrik anal sfinkter yaralanmaları vajinal doğumların önemli bir komplikasyonudur ve istemsiz gaz, sıvı veya katı gaita kaçağı olarak tanımlanan fekal inkontinanslara neden olmaktadırlar. Tüm doğumların %0,5-9'unda sfinkter yaralanması görülmesine rağmen endoanal ultrasonografinin kullanıma girmesiyle vajinal doğum yapmış kadınların %20-41'inde okült anal sfinkter yaralanmaları olduğu tespit edilmiştir. Çalışmamızın amacı postmenapozal dönemde insidansı dramatik artan fekal inkontinansların okült anal sfinkter yaralanmaları ile ilişkisinin incelenmesidir. Gereç ve Yöntemler: Anal sfinkter yaralanması öyküsü olmayan 18-70 yaş arası 200 sağlıklı kadın çalışmaya alındı. Katılımcılar premenapozal ve postmenapozal vajinal doğum; premenapozal ve postmenaozal sezaryenle doğum yapanlar olmak üzere 4 gruba ayrıldı. Katılımcılar menapoz durumu ve doğum türüne göre 4 gruba ayrıldı. Wexner inkontinans skorları belirlendi. Katılımcıların anal sfinkter defektleri endoanal ultrason ile anal sfinkter fonksiyonları ise anorektal manometer ile değerlendirildi.Bulgular: Grup 1'de anorektal manometre ölçüm değerleri grup 3'ten anlamlı olarak daha düşük bulundu (p<0,01). Grup 1 ve grup 3 arasında Wexner skoru benzerdi. Grup 2'nin anorektal manometrik ölçüm değerleri grup 4'ten anlamlı olarak daha düşüktü. Wexner skoru ise grup 2'de anlamlı olarak daha yüksekti (p=0,03). Sonuç: Vajinal doğum sonrası oluşan anal sfinkter yaralanmaları kadınlarda menapoz sonrası fekal inkontinansların insidansının artmasına ve fekal inkontinans semptomların oluşmasına neden olan bir faktör olabilir

Anahtar Kelime:

Konular: Cerrahi

Postmenopozal dönemde görülen fekal inkontinansların vajinal doğumla ilişkisi

Öz:

Objective: Obstetric anal sphincter injuries are one of the most significant complications of vaginal delivery that give way to fecal incontinence, which is defined as the involuntary leakage of gas, fluid or solid stool. Although sphincter injuries are seen in 0.5-9% of all deliveries. It has been reported that 2041% of women who had vaginal deliveries had occult anal sphincter injuries as endoanal ultrasonography began to be used by physicians. The aim of our study was to investigate the relationship between fecal incontinence, whose incidence increases dramatically during the postmenopausal stage, and occult anal sphincter injuries.Materials and Methods: Two hundred healthy female patients with no history of anal sphincter injury, aged between 18 and 70 years were included in the study. The participants were divided into 4 groups according to their menopausal stages and mode of delivery; premenopausal (group 1) and postmenopausal (group 2) vaginal delivery, and premenopausal (group 3) and postmenopausal (group 4) cesarean section. Wexner incontinence scores were determined. The participants’ defects were assessed using endoanal ultrasound and their status of fecal incontinence using anorectal manometric measurements. Results: Anorectal manometric measurement results were found significantly lower in group 1 than in group 3 (p<0.01). The Wexner scores of groups 1 and 3 were similar. The anorectal manometric measurement results of group 2 were significantly lower than those of group 4, and the Wexner score of group 2 was significantly higher than other groups (p=0.03). Conclusion: Anal sphincter injuries formed after vaginal delivery may be one of the reasons that increase the incidence of postmenopausal fecal incontinence and cause the formation of fecal incontinence symptoms in women

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARGIN S, CIFCI S, KAYNAK A, ATASEVEN H, KADIYORAN C, CAKIR M (2017). The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. , 37 - 44.
Chicago	KARGIN SÜLEYMAN,CIFCI Sami,KAYNAK Adnan,ATASEVEN Hüseyin,KADIYORAN CENGİZ,CAKIR Murat The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. (2017): 37 - 44.
MLA	KARGIN SÜLEYMAN,CIFCI Sami,KAYNAK Adnan,ATASEVEN Hüseyin,KADIYORAN CENGİZ,CAKIR Murat The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. , 2017, ss.37 - 44.
AMA	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. . 2017; 37 - 44.
Vancouver	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. . 2017; 37 - 44.
IEEE	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M "The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage." , ss.37 - 44, 2017.
ISNAD	KARGIN, SÜLEYMAN vd. "The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage". (2017), 37-44.

APA	KARGIN S, CIFCI S, KAYNAK A, ATASEVEN H, KADIYORAN C, CAKIR M (2017). The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. Turkish Journal of Obstetrics and Gynecology, 14(1), 37 - 44.
Chicago	KARGIN SÜLEYMAN,CIFCI Sami,KAYNAK Adnan,ATASEVEN Hüseyin,KADIYORAN CENGİZ,CAKIR Murat The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. Turkish Journal of Obstetrics and Gynecology 14, no.1 (2017): 37 - 44.
MLA	KARGIN SÜLEYMAN,CIFCI Sami,KAYNAK Adnan,ATASEVEN Hüseyin,KADIYORAN CENGİZ,CAKIR Murat The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. Turkish Journal of Obstetrics and Gynecology, vol.14, no.1, 2017, ss.37 - 44.
AMA	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. Turkish Journal of Obstetrics and Gynecology. 2017; 14(1): 37 - 44.
Vancouver	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage. Turkish Journal of Obstetrics and Gynecology. 2017; 14(1): 37 - 44.
IEEE	KARGIN S,CIFCI S,KAYNAK A,ATASEVEN H,KADIYORAN C,CAKIR M "The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage." Turkish Journal of Obstetrics and Gynecology, 14, ss.37 - 44, 2017.
ISNAD	KARGIN, SÜLEYMAN vd. "The relationship between fecal incontinence and vaginal delivery in the postmenopausal stage". Turkish Journal of Obstetrics and Gynecology 14/1 (2017), 37-44.