Premium
OC20.06: Are we getting better at diagnosing, treating and managing obstetric anal sphincter injuries ( OASIS)?
Author(s) -
Eisenberg V.H.,
Vernikovsky G.,
Lantsberg D.,
Bitman G.,
Alcalay M.
Publication year - 2017
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.17678
Subject(s) - medicine , pelvic floor , anal sphincter , episiotomy , obstetrics and gynaecology , anal canal , sphincter , internal anal sphincter , obstetrics , ultrasound , vaginal delivery , surgery , gynecology , pregnancy , radiology , rectum , genetics , biology
Hypothesis / aims of study Obstetric anal sphincter injury (OASIS) is the most common cause of anal incontinence and ano-rectal symptoms in women. Sustaining an OASIS carries a significant impact on women's physical and emotional health. The hallmark of adequate management relies on correct diagnosis immediately after the injury occurs according to RCOG guidelines with sub-classification into grade 3A, 3B, 3C or 4 degree tears and subsequent follow-up in dedicated perineal clinics. The implementation of a handson workshop has been suggested to improve OASIS classification and consequent repair. The aim of our study was to evaluate the effect of a hands-on workshop, protocol adherence, and 3D transperineal ultrasound follow-up on the diagnosis, management and outcome of women with OASIS.