Colorectal Anal Distress Inventory 8 (CRADI-8) Scores in PFDI-20 In Women With OASIS Before and After Repair

Rifqi Rahman Mulyana, M. Rizkar Arev Sukarsa, Andi Rinaldi


Abstract


Objectives: This research aims to assess and compare CRADI-8 scores in women with grade 3-4 OASIS before and after surgical repair.
Methods: This cross-sectional study analyzed 37 OASIS patients at Hasan Sadikin Hospital, Bandung (January 2021-December 2023). CRADI-8 scores were measured pre- and post-surgery, with scores categorized by grade (0-4). The McNemar test was used for statistical analysis (p<0.05).
Results: Pre-operatively, patients presented with high-grade scores: 27 (73.0%) with grade 3 and 10 (27.0%) with grade 4. Post-operatively, distribution improved: 1 patient (2.7%) to grade 0, 6 (16.2%) to grade 1, 15 (40.5%) to grade 2, 11 (29.7%) to grade 3, and 4 (10.8%) to grade 4. This improvement was statistically significant (p<0.05).
Conclusion: CRADI-8 scores significantly improved following surgical repair of OASIS, confirming the procedure effectively reduces anal distress severity and enhances colorectal function in affected women.

Skor Colorectal Anal Distress Inventory 8 (CRADI-8) dalam PFDI-20 pada Perempuan dengan OASIS Sebelum dan Setelah Reparasi

Abstrak
Tujuan: Untuk menilai dan membandingkan skor CRADI-8 pada perempuan dengan OASIS derajat 3-4 sebelum dan sesudah tindakan bedah perbaikan.
Metode: Studi potong lintang ini menganalisis 37 pasien OASIS di RSUP Hasan Sadikin, Bandung (Januari 2021–Desember 2023). Skor CRADI-8 diukur sebelum dan setelah operasi, dengan pengelompokan skor menurut derajat (0-4). Uji McNemar digunakan untuk analisis statistik (p<0,05)..
Hasil: Sebelum operasi, pasien menunjukkan skor derajat tinggi: 27 pasien (73,0%) derajat 3 dan 10 pasien (27,0%) derajat 4. Setelah operasi, distribusi skor membaik: 1 pasien (2,7%) derajat 0, 6 pasien (16,2%) derajat 1, 15 pasien (40,5%) derajat 2, 11 pasien (29,7%) derajat 3, dan 4 pasien (10,8%) derajat 4. Perbaikan ini bermakna secara statistik (p<0,05)
Kesimpulan: Skor CRADI-8 menunjukkan perbaikan signifikan setelah tindakan bedah OASIS, prosedur ini efektif menurunkan tingkat keluhan anal dan meningkatkan fungsi kolorektal pada perempuan dengan OASIS.

Kata kunci: OASIS, Colorectal Anal Distress Inventory 8, Pelvic Floor Distress Inventory Questionnaire-20

Keywords


OASIS, Colorectal Anal Distress Inventory 8, Pelvic Floor Distress Inventory Questionnaire-20

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References


de Arruda GT, dos Santos HT, Virtuoso JF. Pelvic foor distress inventory (PFDI)—systematic review of measurement properties. Int Urogynecol J. 2021;32(10):2657–69

Utomo E, Blok BF, Steensma AB, Korfage IJ. Validation of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) in a Dutch population. Int Urogynecol J. 2014;25(4):531–44

Teleman PIA, Stenzelius K, Iorizzo L, Jakobsson ULF. Validation of the Swedish short forms of the Pelvic Floor Impact Questionnaire (PFIQ-7), Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Acta Obstet Gynecol Scand. 2011;90(5):483–7

Karmarkar R, Bhide AA, Digesu A, Khullar V, Fernando R. Mode of delivery after previous obstetric anal sphincter injuries (OASIS)- a prospective observational study. Int Urogynecol J Pelvic Floor Dysfunct 2014;25(1 Suppl 1): S190–S1

Scheer I, Thakar R, Sultan AH. Mode of delivery after previous obstetric anal sphincter injuries (OASIS)--a reappraisal? Int Urogynecol J 2009;20:1095–101

McPherson KC, Beggs AD, Sultan AH, Thakar R. Can the risk of obstetric anal sphincter injuries (OASIS) be predicted using a risk-scoring system? BMC Res Notes 2014;7:471

Roos AM, Thakar R, Sultan AH. Outcome of primary repair of obstetric anal sphincter injuries (OASIS): does the grade of tear matter? Ultrasound Obstet Gynecol 2010;36:368–74

Sartore A, Scalia MS, Mangino FP, Savastano G, Magni E, Ricci G. Pelvic floor function after third and fourth degree perineal lacerations: a case-control study on quality of life. BMC Womens Health. 2024;24(1):12. Published 2024 Jan 3. doi:10.1186/s12905-023-02739-9

Mashayekh-Amiri S, Asghari Jafarabadi M, Rashidi F, Mirghafourvand M. Translation and measurement properties of the pelvic floor distress inventory-short form (PFDI-20) in Iranian reproductive age women. BMC Womens Health. 2023;23(1):333. Published 2023 Jun 24. doi:10.1186/s12905-023-02493-y

Brennen R, Lin KY, Denehy L, Frawley HC. The Effect of Pelvic Floor Muscle Interventions on Pelvic Floor Dysfunction After Gynecological Cancer Treatment: A Systematic Review. Phys Ther. 2020;100(8):1357-1371. doi:10.1093/ptj/pzaa081

Fernando RJ, Sultan AH, Radley S, Jones PW, Johanson RB. Management of obstetric anal sphincter injury: a systematic review & national practice survey. BMC Health Serv Res. 2002;2(1):9. Published 2002 May 13. doi:10.1186/1472-6963-2-9




DOI: http://dx.doi.org/10.24198/obgynia.v8i2.780

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