{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:10:45Z","timestamp":1757452245669},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2004,12,14]],"date-time":"2004-12-14T00:00:00Z","timestamp":1102982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective\u2003<\/jats:bold> To correlate anorectal function including rectal evacuation with anorectal physiology and endoanal ultrasound in women with third degree obstetric anal sphincter injury repaired at the time of delivery.<\/jats:p><jats:p><jats:bold>Patients and methods\u2003<\/jats:bold> Forty\u2010four women with repaired third degree tears underwent anorectal physiology, anal ultrasonography and clinical assessment using the St. Marks incontinence score (0\u201324). Evacuatory disturbance was assessed by questionnaire.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> There was a significant correlation between disturbed evacuation and incontinence symptoms (<jats:italic>P\u2003=<\/jats:italic>0.030). There was also a significant correlation between disturbed evacuation and internal anal sphincter (IAS) injury (<jats:italic>P\u2003=<\/jats:italic>\u20030.026), but there was no correlation with external anal sphincter (EAS) injury. There was a correlation between disturbed evacuation and low resting anal pressure (<jats:italic>P\u2003=<\/jats:italic>\u20030.013). Although IAS defects were associated with low anal pressure, only the correlation with Maximum Squeeze Pressure reached statistical significance (<jats:italic>P\u2003=<\/jats:italic>\u20030.018).<\/jats:p><jats:p><jats:bold>Conclusion\u2003<\/jats:bold> Women with evacuatory disturbance after repaired third degree tears have a greater level of incontinence than those whose emptying is normal. This association is related to internal sphincter injury and reduced anal sphincter pressures.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2004.00723.x","type":"journal-article","created":{"date-parts":[[2004,12,14]],"date-time":"2004-12-14T09:31:36Z","timestamp":1103016696000},"page":"18-21","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear"],"prefix":"10.1111","volume":"7","author":[{"given":"T.","family":"Shatari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Pretlove","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Toosz\u2010Hobson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Radley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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