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How to set up a perineal clinic
Author(s) -
Fowler G,
Williams A,
Murphy G,
Taylor K,
Wood C,
Adams E
Publication year - 2009
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.11.2.129.27487
Subject(s) - anal sphincter , medicine , debriefing , obstetrics and gynaecology , sphincter , external anal sphincter , perineum , internal anal sphincter , gynecology , anal canal , physical therapy , general surgery , surgery , pregnancy , rectum , medical education , biology , genetics
• All women sustaining obstetric anal sphincter injury should be reviewed at 6–12 weeks postpartum. • All women with anal incontinence should be offered endoanal ultrasound, anorectal physiology testing and review by a clinician with experience in anal sphincter injury. • A perineal clinic provides the setting for debriefing and provision of consistent, accurate information from clinicians with a special interest in sphincter injury.Learning objectives:• To be aware of the benefits of a perineal clinic. • To learn how to set up a perineal clinic.Ethical issues:• Should anorectal testing be a routine part of the follow‐up of all women after anal sphincter injury or restricted to symptomatic women? • Who is responsible for debriefing women sustaining anal sphincter injury?Please cite this article as: Fowler G, Williams A, Murphy G, Taylor K, Wood C, Adams E. How to set up a perineal clinic. The Obstetrician & Gynaecologist 2009;11:129–132.