Perineal Trauma After Jet Ski Accidents and Long-term Functional Outcomes Results

Recruiting

• Conditions: Anal Tear; Perineum; Tear, Traumatic; Anal Incontinence

• Registration Number: NCT06368284
• Lead Sponsor: University Hospital, Montpellier

Brief Summary

French multicentric retrospective cohort study including patients who underwent an ano-perineal trauma following a personal watercraft/jet-ski accident and that were treated in France from January 2017 to December 2023.

Aims of the study were to describe the initial management of the patients and to evaluate the digestive, urological and sexual functional outcomes as well as the quality of life, using validated questionnaires commonly employed in clinical practice.

Detailed Description

Ano-perineal injuries and their mechanisms resulting from personal watercraft (PWC)/Jet-Ski accidents are poorly understood and may lead to long-term functional repercussions, previously unmentioned in studies. These accidents are in France but, mostly, concerned young women, back-seated on the PWC without any specific protection.

Therefore, the research team conducted a French multicentric cohort study that retrospectively included patients who experienced ano-perineal trauma following a personal watercraft/Jet-Ski accident and were treated in France.

Data on pre-hospital management, pre-operative work-up, surgical management (including surgical techniques), short-term and long-term complications (routinely used functional scores) were collected through the analysis of personal medical records.

Several patients had sphincteric, rectal, vaginal, or combined injuries, sometimes requiring the establishment of a stoma. the investigators subsequently evaluated the rate of fecal incontinence (evaluated by anorectal manometry or Wexner score), urological (USP score), and sexual outcomes (FSFI). Quality of life was also assessed using the SF12 score.

Study Timeline

• Study Start: 2023-01-01
• Status Verified: 2024-04
• Primary Completion: 2024-04-01
• Study First Submitted: 2024-04-05
• Study First Submitted QC: 2024-04-10
• Last Update Submitted: 2024-04-10
• Study First Posted: 2024-04-16
• Last Update Posted: 2024-04-16
• Study Completion: 2024-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• ano-perineal trauma following a PWC/Jet-Ski accident between January 2017 and December 2023
• managed and followed in France

Exclusion Criteria

• <18 years old

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of fecal incontinence	Consultation at 12 months of trauma on average	Defined by the fecal incontinence Wexner Score \>10 (Score from 0 to 20, the higher the score, the greater the incontinence.) or by ano-rectal manometry.

Secondary Outcome Measures

Name	Time	Method
Rate of permanent stoma	Consultation at 12 months of trauma on average	No long-term plan for restoration of digestive continuity
Rate of acontractile bladder	Consultation at 12 months of trauma on average	Self-catheterization
Rate of impact on quality of life	Consultation at 12 months of trauma on average	rated by 12-Item Short Form Survey (SF-12) (the higher the score, the greater the quality of life)
Rate of sexual dysfunction	Consultation at 12 months of trauma on average	defined as Female Sexual Function Index (FSFI) score \<26,55 (Score from 2 to 36, the lower the score, the greater the dysfunction.)

Trial Locations

Locations (1)

Chu Montpellier; 🇫🇷 Montpellier, France