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Participants completed interviews before delivery, and were given anal\u2010incontinence questionnaires to be returned for analysis at 3 months and 6 months postpartum. Anal incontinence was defined as a St Mark's incontinence score above four and individual anal\u2010incontinence components were analyzed separately; results were compared between the two episiotomy techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Questionnaires were returned by 300 and 366 patients who underwent mediolateral and lateral episiotomies, respectively; baseline characteristics were similar. Anal incontinence at 3 months and 6 months was recorded among 21 (7.0%) and 9 (3.0%) patients who underwent mediolateral and 27 (7.4%) and 20 (5.5%) who underwent lateral episiotomy, respectively. The study was underpowered to confirm equivalence between the groups; however, no statistically significant differences were observed in the rates of anal incontinence, flatus, solid or liquid incontinence, and de novo incontinence. Fecal urgency (<jats:italic>P<\/jats:italic> = 0.017) and de novo fecal urgency (<jats:italic>P =<\/jats:italic> 0.008) were more prevalent among patients who underwent lateral episiotomies at 6 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anal incontinence was comparable between primiparous patients who underwent mediolateral or lateral episiotomy. The association between lateral episiotomy and fecal urgency merits further scientific interest.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2016.06.025","type":"journal-article","created":{"date-parts":[[2016,9,6]],"date-time":"2016-09-06T00:48:45Z","timestamp":1473122925000},"page":"290-294","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Anal incontinence and fecal urgency following vaginal delivery with episiotomy among primiparous patients"],"prefix":"10.1002","volume":"135","author":[{"given":"Zdenek","family":"Rusavy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaroslava","family":"Karbanova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Jansova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Kalis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,29]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00958.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199710000-00010"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.44.1.77"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0784-7"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.02.025"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.08.020"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12283"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2010.01057.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-014-0157-y"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00721.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080009830.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.03030.x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.07.022"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811404276"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.019"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.07.011"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12814"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2425-7"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02235567"},{"issue":"7","key":"e_1_2_6_21_2","first-page":"678","article-title":"Obstetric practice and faecal incontinence three months after delivery","volume":"108","author":"MacArthur C.","year":"2001","journal-title":"BJOG"},{"issue":"5","key":"e_1_2_6_22_2","first-page":"312","article-title":"Vaginal delivery in primiparas and anal incontinence [in Czech]","volume":"68","author":"Kalis V.","year":"2003","journal-title":"Ceska Gynekol"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000119223.04441.c9"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-2004-8"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318242b1f7"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7227.86"}],"container-title":["International Journal of Gynecology &amp; 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