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All women had endoanal scans at this visit. In June 2008 all women were asked to complete the questionnaires again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 344 patients who responded to the questionnaires and were included in the analysis, long\u2010term symptoms of fecal urgency, flatus incontinence, and fecal incontinence occurred in 62 (18.0%), 52 (15.1%), and 36 (10.5%), respectively. Overall, there was a significant improvement in fecal urgency (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and flatus incontinence (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) from 9 weeks to 3 years. Of 31 women with fecal incontinence symptoms at early follow\u2010up, 28 were asymptomatic at 3 years. However, 33 women developed de novo symptoms. The only predictors of fecal incontinence at 3 years were fecal urgency at 9 weeks (OR 4.65; 95% CI, 1.38\u201315.70) and a higher St Mark score (OR 1.40; 95% CI, 1.09\u20131.80).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Following primary repair of OASIS, the majority of symptoms and QoL significantly improve, unless there is a persistent anal sphincter defect. This highlights the importance of adequate repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2014.04.013","type":"journal-article","created":{"date-parts":[[2014,6,12]],"date-time":"2014-06-12T18:38:28Z","timestamp":1402598308000},"page":"47-50","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":61,"title":["Outcome of repair of obstetric anal sphincter injuries after three years"],"prefix":"10.1002","volume":"127","author":[{"given":"Annette J.","family":"Reid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Beggs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul H.","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Marie","family":"Roos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranee","family":"Thakar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,12]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84628-503-5_4"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00400.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080009830.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0901-2"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/135626229900500601"},{"key":"e_1_2_6_7_2","unstructured":"Royal College of Obstetricians and Gynaecologists. The Management of Third\u2010 and Fourth\u2010Degree Perineal Tears. Green\u2010top Guideline No. 29.http:\/\/www.rcog.org.uk\/files\/rcog\u2010corp\/GTG2911022011.pdf. Published March 2007. Accessed June 4 2014."},{"key":"e_1_2_6_8_2","first-page":"985","volume-title":"Anal Incontinence","author":"Norton C.","year":"2002"},{"key":"e_1_2_6_9_2","unstructured":"National Institute of Health and Clinical Excellence National Centre for Clinical Practice. Intrapartum care: Care of healthy women and their babies during childbirth. NICE clinical guideline 55.http:\/\/www.nice.org.uk\/nicemedia\/live\/11837\/36280\/36280.pdf. Published September 2007. 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