Obstetrics anal sphincter injury and repair technique: A review.
The Urogynecology Committee of the Asia and
Oceania Federation of Obstetrics and Gynaecology
(AOFOG) has been working to identify and analyze the
current situation in urogynecological issues in different
Asian and Oceanic countries. In developing countries,
many patients suffer from fecal incontinence after
vaginal birth trauma. Even in developed countries,
there is a significant number of patients with this disorder.
Traumatic injury to the anal sphincter from
vaginal birth is the major cause of fecal incontinence.1,2
Spontaneous perineal tear and episiotomy can badly
damage the anal sphincter. Additionally, the anal
mucosa may also be injured. Such tears occur in up to
3% of all vaginal deliveries.3–5 Obstetricians and gynecologists
should be trained in the proper surgical treatment
of severe perineal vaginal and anal tears after
vaginal birth