{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T07:12:21Z","timestamp":1789197141229,"version":"build-2803163510"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universidade Federal Do Cear\u00e1"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>Obstetric anal sphincter injuries (OASIS) compromise pelvic floor function and quality of life; prospective evidence from low-resource settings remains scarce. We hypothesised that OASIS would be associated with worse sexual function and greater pelvic floor distress than controls over the first 6 months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Prospective cohort study conducted at a tertiary maternity unit in [Fortaleza, Cear\u00e1, northeastern Brazil] (2022\u20132024). Women with OASIS (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922) and controls without perineal injury (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200969) were assessed using the PFDI-20, PFIQ-7, FSFI, and SF-36 at T0 (immediate postpartum), T1 (3\u00a0months), and T2 (6\u00a0months). Statistical analysis: Mann\u2013Whitney and Friedman\/Dunn tests (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety-one women were enrolled (OASIS incidence 1.2%); factors associated with OASIS were nulliparity, vacuum-assisted delivery, elevated neonatal birthweight, and epidural analgesia. Sexual dysfunction occurred in both groups throughout follow-up; the OASIS group had worse Arousal and Pain scores at T2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037). On the PFDI-20, bowel and urinary symptoms were more severe in the OASIS group at T1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005), with a difference in total score at T2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048). On the PFIQ-7, greater symptom impact was observed in the OASIS group at T1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035) and T2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017). Overall quality of life (SF-36) was similar between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OASIS were associated with worse sexual function and pelvic floor distress than controls from 3 months postpartum, confirming the study hypothesis; overall quality of life was similar between groups. Structured multidisciplinary postpartum follow-up addressing sexual function and pelvic floor rehabilitation is warranted for women with OASIS in low-resource settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06882-3","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:48:18Z","timestamp":1789195698000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pelvic Floor Dysfunction After Obstetric Anal Sphincter Injuries: A Prospective Cohort Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0638-8375","authenticated-orcid":false,"given":"Carolina","family":"de Alencar Ohi Garcia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6784-5970","authenticated-orcid":false,"given":"Jos\u00e9 Ananias","family":"Vasconcelos Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4578-4657","authenticated-orcid":false,"given":"Camila Teixeira Moreira","family":"Vasconcelos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6248-5590","authenticated-orcid":false,"given":"Simony Lira","family":"do Nascimento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"6882_CR1","doi-asserted-by":"crossref","unstructured":"Arnold KC, et al. 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All participants provided written informed consent. The study was conducted in accordance with the principles of the Declaration of Helsinki.","order":1,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"A portion of these data was presented at the International Continence Society (ICS) Annual Meeting 2024, Madrid, Spain, September 2024. Title: \u201cEffects of vaginal delivery on the pelvic floor: cohort study.\u201d The abstract was not published in conference proceedings.","order":2,"name":"Ethics","label":"Prior Meeting Presentation","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":3,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}