Third or Fourth degree tear of the External Anal Sphincter (EAS) at childbirth. Pregnancy and Childbirth External Anal Sphincter repair
Conditions
Interventions
Two arms:
1. Traditional end-to-end repair of the EAS
2. Overlapping repair of the EAS
Sponsors
Dalhousie University (Nova Scotia) (Canada)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Complete third or fourth degree tear of the External Anal Sphincter 2. Aged 18 - 49 years old, female
Exclusion criteria
Exclusion criteria: 1. Previous 3rd or 4th degree tear 2. Significant history of anal incontinence 3. Inflammatory bowel disease or other gastrointestinal condition which might affect functional outcome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of flatal incontinence at 6 months post repair. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Rate of fecal incontinence at 6 months post repair 2. Integrity of EAS by endoanal ultrasound 3. Function of EAS by anal manometry 4. Quality of life by validated QOL measure 5. Post-operative complications | — |
Countries
Canada
Outcome results
None listed