Diagnosis and Treatment of Obstetric Anal Sphincter Injuries: New Evidence and Perspectives
Antonino Spinelli, Virginia Laurenti, Francesco Maria Carrano, Enrique González‐Díaz, Katarzyna Borycka-Kiciak
Abstract
Perineal injury during childbirth is a common event with important morbidity associated in particular with third-and-fourth degree perineal tears (also referred to as obstetric anal sphincter injuries-OASIS). Early diagnosis of these damages is mandatory to define a prompt therapeutic strategy and thus avoid the development of late-onset consequences, such as faecal incontinence. For this purpose, various diagnostic exams can be performed after a thorough clinical examination. The management of OASIS includes several measures and should be individualized according to the timing and features of the clinical presentation.
Topics & Concepts
MedicineAnal sphincterGeneral surgeryIntensive care medicineSurgeryObstetricsPelvic floor disorders treatmentsAnorectal Disease Treatments and OutcomesPelvic and Acetabular Injuries