• Publications
  • Influence
Anal-sphincter disruption during vaginal delivery.
BACKGROUND Lacerations of the anal sphincter or injury to sphincter innervation during childbirth are major causes of fecal incontinence, but the incidence and importance of occult sphincter damageExpand
Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair
Objectives To determine (i) risk factors in the development of third degree obstetric tears and (ii) the success of primary sphincter repair. Design (i) Retrospective analysis of obstetric variablesExpand
Endosonography of the anal sphincters: normal anatomy and comparison with manometry.
To determine the normal and anatomy in vivo, and endosonography and manometry were performed in 93 nulliparous females, and endosonography alone in 21 healthy males. Endosonography did not reveal anyExpand
Anal-sphincter disruption during vaginal delivery.
Background Lacerations of the anal sphincter or injury to sphincter innervation during childbirth are major causes of fecal incontinence, but the incidence and importance of occult sphincter damageExpand
Pudendal nerve damage during labour: prospective study before and after childbirth *
Objective To establish the effect of childbirth on pudendal nerve function and identify obstetric factors associated with such damage.
Anal sphincter trauma during instrumental delivery
OBJECTIVES: To determine the incidence of defecatory symptoms, pudendal nerve damage and mechanical trauma to the anal sphincters during vacuum and forceps delivery. METHODS: Anal endosonography,Expand
Release of Oxytocin and Vasopressin by the Human Foetus during Labour
OXYTOCIN, a potent stimulant of myometrial activity, is used extensively in clinical practice for the induction of labour. The fact that in animals circulating concentrations of this peptide areExpand
Bowel dysfunction: a pathogenic factor in uterovaginal prolapse and urinary stress incontinence
Objective To investigate the aetiological importance of bowel dysfunction in patients with uterovaginal prolapse and urinary stress incontinence.
Vaginal endosonography
PURPOSE: Although anal endosonography provides clear images of anal sphincters, the probe in the anal canal may distort epithelial structures and sphincter muscles may be compressed, producingExpand
Obstetric perineal trauma: An audit of training
SummaryThis study aimed to establish if trainee doctors and qualified midwives have adequate knowledge of perineal anatomy, if the classification of perineal tears is consistent, and to assessExpand
...
1
2
3
4
5
...