ICS 2013 Scientific Podium Poster Session S31 - Faecal Incontinence

Faecal Incontinence

Scientific Podium Poster Session S31

Speakers
	Friday 30th August 2013
	16:00 - 17:00
	115 Capacity: 350
P Paula Igualada Martinez ICS Chair R Ruwan Janaka Fernando ICS Chair

Summary by Paula Igualada-Martinez

Five of the eight abstracts presented at the session were about obstetric anal sphincter injury (OASIS) highlighting the change in clinical practice regarding recognition of such injury and management of its co-morbidities. Many clinicians would recommend an episiotomy to prevent such injury. Episiotomy has been a controversial topic due to the difference in medical practice around the world. Mirza et al (Abstract 286) conducted a systematic review to reassess the association between OASIS and episiotomy in RCT’s. The authors concluded that there is still insufficient evidence to associate episiotomy with OASIS. Rømmen et al (Abstract 281) found once more time the association of OASIS and faecal incontinence.

Session Schedule

16:20

#281 Sphincter tears and fecal incontinence, results from a population-based study in Norway.

Presenter: Kathrine Rømmen

Rømmen K¹, Schei B², Rydning A³, Daltveit A K⁴, Sultan A⁵, Mørkved S¹
1. Clinical Service, St.Olavs Hospital, Trondheim University Hospital and Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway, 2. Department of Public Health and General Practice, Norwegian University of Science and Technology and Department of Gynecology, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway, 3. Department of Surgery, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway, 4. University of Bergen, Faculty of Medicine and Dentistry, Department of Public Health and Primary Health Care, 5. Croydon University Hospital, Croydon, UK
Anal Incontinence, Incontinence, Urgency, Fecal, Female

16:25

#282 Is intimate partner abuse a risk factor for postpartum fecal incontinence? Findings from an Australian multicentre prospective pregnancy cohort study.

Presenter: Stephanie Brown

Brown S¹, Gartland D²
1. Murdoch Childrens Research Institute and Department of General Practice, University of Melbourne, 2. Murdoch Childrens Research Institute
Anal Incontinence, Prospective Study, Female

16:30

#283 Incidence and Correlates of Anal Incontinence after Obstetric Anal Sphincter Injury in Primiparous Women

Presenter: Holly Richter

Richter H¹
1. University of Alabama at Birmingham for the Pelvic Floor Disorders Network
Female, Urgency, Fecal, Anal Incontinence

16:35

#284 Predictors of anal incontinence in the absence of anal sphincter defect: A 3D Endovaginal and Endoanal Study

Presenter: Lieschen Quiroz

Quiroz L¹, Rostaminia G¹, White D¹, Shobeiri S A¹
1. The University of Oklahoma HSC
Pelvic Floor, Anal Incontinence, Imaging

16:40

#285 IS THERE A RELATIONSHIP BETWEEN ANAL CANAL DIMENSIONS AND ANAL INCONTINENCE FOLLOWING CHILDBIRTH?

Presenter: Kim van Delft

van Delft K¹, Thakar R¹, Sultan A¹
1. Croydon University Hospital
Anal Incontinence, Pelvic Floor, Female, Imaging

16:45

#286 Routine Versus Restrictive Episiotomy for Obstetric Anal Sphincter Injury: Metaregression of Randomised Controlled Trials

Presenter: Enaya Mirza

Mirza E¹, O'Connor E², Fodstad K³, Räisänen S⁴, Igualada-Martinez P⁵, Scheer I⁶, Kirby A⁷, Thiagamoorthy G⁸, Heinonen S⁴, Kalis V⁹, Tincello D¹⁰, Cartwright R¹
1. Department of Epidemiology & Biostatistics, Imperial College London, UK, 2. Imperial College School of Medicine, London, UK, 3. Department of Obstetrics and Gynaecology, Oslo University Hospital, Norway, 4. Department of Obstetrics and Gynaecology, Kuopio University Hospital, Finland, 5. Department of Physiotherapy, St Thomas' Hospital, London, UK, 6. Department of Gynecology, DKD Wiesbaden, Germany, 7. Department of Female Pelvic Medicine and Reconstructive Surgery, UC San Diego, USA, 8. Department of Urogynaecology, King's College London, UK, 9. Department of Obstetrics and Gynecology, Charles University, Pilsen, Czech Republic, 10. Department of Urogynaecology, University of Leicester, UK
Anal Incontinence, Pelvic Floor, Clinical Trial, Prevention

16:50

#287 A highly successful interventional program reducing the incidence of OASIS from 4.7 to 2.0 percent in a large cohort.

Presenter: Mona Stedenfeldt

Stedenfeldt M¹, Øian P², Hals E³, Pirhonen T⁴, Gissler M⁵, Hjelle S⁶, Ber Nilsen E⁷, Ber Nilsen E⁷, Severinsen A M⁸, Solsletten C⁶, Hartgill T⁹, Pirhonen J¹
1. The Norwegian Continence and Pelvic Floor Center University Hosptial North of Norway, 2. Department of Obstetric and Gynecology, Hosptial North of Norway, 3. Innlandet Hospital Trust, Lillehammer, Norway, 4. University Hosptial North of Norway, 5. Institure for Health and Welfare, Helsinki, Finland, 6. Department of Obstetric and Gynecology, Ålesund Hospital, Ålesund, Norway, 7. Department of Obstetric and Gynecology, Stavanger University Hospital, Stavanger, Norway, 8. Department of Obstetric and Gynecology an Institute of Clinical Medicine, University Hospital North of Norway, 9. Department of Obstetric and Gynecology, Oslo University Hospital, University of Oslo, Oslo, Norway
Female, Prevention, Pelvic Floor

16:55

#288 Is there any factor for symptoms persistence at 6 months of delivery in patients with obstetric anal sphincter injuries (OASIS)?

Presenter: Eva Martinez Franco

Martinez Franco E¹, Porta Roda O², Amat Tardiu L³, Font Vilamitjana A⁴, Lleberia Juanos J⁵, Elias Santodomingo N⁶, Mora Hervas I⁷, Montero A⁸, Castillo M⁹, Fernández Alvárez R¹⁰
1. Parc Sanitari Sant Joan de Déu, 2. Hospital Sant Pau, 3. Hospital Universitari Sant Joan de Déu, 4. Consorci Sanitari de Terrassa, 5. Hospital Parc Taulí, 6. ICGON Hospital Clínic, 7. Consorci Sanitari Anoia, 8. Hospital Vall d'Hebron, 9. Parc de Salut Mar, 10. Institut Universitari Dexeus
Anal Incontinence, Female