BJOG : an international journal of obstetrics and gynaecology
-
To investigate persistent faecal incontinence (FI) 12 years after birth and association with delivery mode history and quality of life. ⋯ This longitudinal study has demonstrated persistence of FI many years after birth and shown that one forceps birth increased the likelihood, whereas exclusive caesarean birth showed no association. Obesity, which increased symptom likelihood, is a modifiable risk factor.
-
Comparative Study
Deterioration in biomechanical properties of the vagina following implantation of a high-stiffness prolapse mesh.
To define the impact of prolapse mesh on the biomechanical properties of the vagina by comparing the prototype Gynemesh PS (Ethicon) to two new-generation lower stiffness meshes, SmartMesh (Coloplast) and UltraPro (Ethicon). ⋯ Deterioration of the mechanical properties of the vagina was highest following implantation with the stiffest mesh, Gynemesh PS. Such a decrease associated with implantation of a device of increased stiffness is consistent with findings from other systems employing prostheses for support.