Postpartum incontinence. Narrative review

The development of fecal incontinence after childbirth is a common event. This incontinence responds to a multifactorial etiology in which the most common element is external anal sphincter injury. There are several risk factors, and it is very important to know and avoid them. Sphincter injury may...

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Bibliographic Details
Published inCirugia Española Vol. 93; no. 6; p. 359
Main Authors Rodríguez, Rodolfo, Alós, Rafael, Carceller, M Soledad, Solana, Amparo, Frangi, Andrés, Ruiz, M Dolores, Lozoya, Roberto
Format Journal Article
LanguageSpanish
Published Spain 01.06.2015
Subjects
Algorithms
Anal Canal - injuries
Fecal Incontinence - etiology
Fecal Incontinence - surgery
Female
Humans
Lacerations - complications
Obstetric Labor Complications
Pregnancy
Puerperal Disorders - etiology
Puerperal Disorders - surgery
Risk Factors
Fecal incontinence
Incontinencia obstétrica
Incontinencia posparto
Obstetric incontinence
Sphincter injuries
Lesiones esfinterianas
Incontinencia fecal
Postpartum incontinence
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Summary:The development of fecal incontinence after childbirth is a common event. This incontinence responds to a multifactorial etiology in which the most common element is external anal sphincter injury. There are several risk factors, and it is very important to know and avoid them. Sphincter injury may result from perineal tear or sometimes by incorrectly performing an episiotomy. It is very important to recognize the injury when it occurs and repair it properly. Pudendal nerve trauma may contribute to the effect of direct sphincter injury. Persistence of incontinence is common, even after sphincter repair. Surgical sphincteroplasty is the standard treatment of obstetric sphincter injuries, however, sacral or tibial electric stimulation therapies are being applied in patients with sphincter injuries not repaired with promising results.
ISSN:1578-147X
DOI:10.1016/j.ciresp.2014.10.002