| An active duty woman with anal incontinence after vaginal delivery: an elusive diagnosis. | |
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MedLine Citation:
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PMID: 15646187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Anal sphincter injury as a result of birth trauma is the leading cause of fecal incontinence in women presenting to surgical clinics. A 36-year-old active duty woman was referred to the Urogynecology Clinic at Madigan Army Medical Center for evaluation of a deficient perineal body. She reluctantly reported a 12-year history of anal incontinence since the birth of her first child, predating her entry into the naval service. Examination revealed defects of the perineum and anal sphincter resembling a cloacal deformity. Uncomplicated overlapping anal sphincteroplasty and perineorrhaphy were performed, restoring perineal anatomy and continence. Anal incontinence and other anatomic defects attributable to lacerations sustained at childbirth may go undetected during routine screening examinations. Interview and examination techniques should be emphasized in primary care settings. |
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Authors:
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Amy L O'Boyle; John D O'Boyle; Ronald J Place |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Military medicine Volume: 169 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2004 Dec |
Date Detail:
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Created Date: 2005-01-13 Completed Date: 2005-02-10 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 966-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Madigan Army Medic Center, 9040A Fitzsimmons Drive, Tacoma, WA 98431, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / injuries* Delivery, Obstetric / adverse effects* Fecal Incontinence / diagnosis, etiology*, surgery Female Humans Military Medicine* Parturition* Perineum / injuries* Pregnancy Pregnancy Complications* Risk Factors United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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