BACKGROUND: An increased awareness of @entity322 after delivery tears has developed during the last years. The aim of this study was to compare complaints with the results of physiological methods in @entity1 with complete @entity2300 primarily repaired at delivery. METHODS: Twenty-seven @entity1 , 16 with total @entity397 of the external anal sphincter and 11 who also had a ruptured internal anal sphincter were studied. Interviews on pelvic floor function, investigation with recto-anal manometry, single fiber EMG and anal endosonography were performed at 11.9 (2.5) months after delivery. Fifteen @entity1 vaginally delivered without sphincter @entity397 served as controls. RESULTS: @entity3087 was admitted in 74%, in particular gas @entity322 (59%). Maximum squeeze pressure was significantly reduced (p<0.01) compared to controls, while resting anal pressure was unaffected. Fiber density was increased in 81% of @entity1 and 91% had detectable defects on endosonography. Neither the degree of @entity397 nor the presence of complaints significantly correlated to the objective methods. CONCLUSIONS: A majority of @entity1 with primarily repaired anal @entity2300 at delivery were incontinent. Sphincter defects and signs of @entity16 could not precisely predict symptoms.

Objective methods cannot predict XXXX after primary repair of extensive anal tears.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['anal incontinence', 'incontinence'] @entity3087 :: ('MESH:D059952', 'Disease') :: ['Pelvic floor dysfunction'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neuropathy'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity2300 :: ('MESH:D011681', 'Disease') :: ['sphincter ruptures']
@entity322 :: (MESH:D014549,Disease) :: ['anal incontinence']
