Journal article

Perineal examination as a predictor of underlying external anal sphincter damage.

A Frudinger, CI Bartram, JA Spencer, MA Kamm

Br J Obstet Gynaecol | Published : 1997

Abstract

OBJECTIVE: To assess the relation between perineal inspection and sphincter integrity in parous women. DESIGN: Prospective observational study. SETTING: District general hospital. POPULATION: Fifty-seven consecutive parous women attending a gynaecology clinic for problems unrelated to the pelvic floor. METHODS: A detailed history of bowel function and mode of delivery obtained; the perineum inspected to determine the presence and position of scarring, and anal endosonography performed. RESULTS: In 19 women with an intact perineum on inspection, endosonography showed perineal scarring in five, with both perineal and sphincter scarring in three. Four had urge faecal incontinence. Three patient..

View full abstract