Main description:

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

Contents:

Anatomy of the Perineum and the Anal Sphincter.- Diagnosis of Perineal Trauma.- Repair of Episiotomy, First and Second Degree Tears.- Third and Fourth Degree Tears.- Prevention of Perineal Trauma.- Postpartum Problems and the Role of a Perineal Clinic.- Female Genital Mutilation.- Pathophysiology of Anal Incontinence.- Investigations of Anorectal Function.- Imaging of the Anal Sphincter.- Conservative Management of Anal Incontinence.- Surgical Management of Anal Incontinence Part A. Secondary Anal Sphincter Repair.- Surgical Management of Anal Incontinence Part B. Advanced Surgical Techniques.- Rectovaginal Fistulas.- Medicolegal Considerations: The British and U.S. Perspective.