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2016 ; 13
(3
): 144-148
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Long- and short-term complications of episiotomy
#MMPMID28913110
Gün ?
; Do?an B
; Özdamar Ö
Turk J Obstet Gynecol
2016[Sep]; 13
(3
): 144-148
PMID28913110
show ga
Although extensively applied in obstetrics practice to facilitate delivery by
increasing the vaginal birth conduit, most episiotomy studies are in the context
of short- or medium-term outcomes, and the number of studies investigating the
long-term effects is insufficient. Episiotomy is often considered associated with
urinary and/or anal incontinence and dyspareunia; however, there is no concrete
evidence for this issue. Current meta-analyses and reviews that assessed the
studies available in the literature revealed that episiotomy does not decrease
the rates of urinary incontinence, perineal pain, and sexual dysfunction and that
routine episiotomy does not prevent pelvic floor damage; thus, the recommended
use of mediolateral episiotomy is restricted, rather than routine. According to
the limited number of studies on sexual function, there seems to be a linear
relationship between the degree of perineal laceration and postpartum
dyspareunia. It is still not clear whether episiotomy has any impact on pelvic
floor relaxation, pelvic organ prolapse, and sexual dysfunction in the long term.