Anal Incontinence, Anal Tear, Perineum; Tear, Traumatic
Conditions
Keywords
Ano-perineal trauma, Ano-perineal injury, Personal watercraft, Jet-Ski, functional outcomes, peripheral neurogenic bladder, fecal incontinence
Brief summary
French multicentric retrospective cohort study including patients who underwent an ano-perineal trauma following a personal watercraft/jet-ski accident and that were treated in France from January 2017 to December 2023. Aims of the study were to describe the initial management of the patients and to evaluate the digestive, urological and sexual functional outcomes as well as the quality of life, using validated questionnaires commonly employed in clinical practice.
Detailed description
Ano-perineal injuries and their mechanisms resulting from personal watercraft (PWC)/Jet-Ski accidents are poorly understood and may lead to long-term functional repercussions, previously unmentioned in studies. These accidents are in France but, mostly, concerned young women, back-seated on the PWC without any specific protection. Therefore, the research team conducted a French multicentric cohort study that retrospectively included patients who experienced ano-perineal trauma following a personal watercraft/Jet-Ski accident and were treated in France. Data on pre-hospital management, pre-operative work-up, surgical management (including surgical techniques), short-term and long-term complications (routinely used functional scores) were collected through the analysis of personal medical records. Several patients had sphincteric, rectal, vaginal, or combined injuries, sometimes requiring the establishment of a stoma. the investigators subsequently evaluated the rate of fecal incontinence (evaluated by anorectal manometry or Wexner score), urological (USP score), and sexual outcomes (FSFI). Quality of life was also assessed using the SF12 score.
Interventions
PROCEDUREPatients who experienced an ano-perineal trauma following a PWC/Jet-Ski accident
Patients who experienced an ano-perineal trauma following a PWC/Jet-Ski accident between January 2017 and December 2023, managed and followed up in France
Sponsors
University Hospital, Montpellier
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* ano-perineal trauma following a PWC/Jet-Ski accident between January 2017 and December 2023 * managed and followed in France
Exclusion criteria
* \<18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of fecal incontinence | Consultation at 12 months of trauma on average | Defined by the fecal incontinence Wexner Score \>10 (Score from 0 to 20, the higher the score, the greater the incontinence.) or by ano-rectal manometry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of permanent stoma | Consultation at 12 months of trauma on average | No long-term plan for restoration of digestive continuity |
| Rate of acontractile bladder | Consultation at 12 months of trauma on average | Self-catheterization |
| Rate of sexual dysfunction | Consultation at 12 months of trauma on average | defined as Female Sexual Function Index (FSFI) score \<26,55 (Score from 2 to 36, the lower the score, the greater the dysfunction.) |
| Rate of impact on quality of life | Consultation at 12 months of trauma on average | rated by 12-Item Short Form Survey (SF-12) (the higher the score, the greater the quality of life) |
Countries
France
Contacts
Primary ContactThomas BARDOL, MD
Outcome results
None listed