Anal sphincter tear

The surgical management of a consecutive series of 97 patients with complete division of the anal sphincter musculature is reported. The sphincter damage followed operative, traumatic, or obstetric injury and resulted in frank fecal incontinence or the urgent necessity of a defunctioning colostomy. All patients were treated by delayed sphincter repair using an overlapping technique; in 93 the repair was protected by a temporary defunctioning stoma. There were no deaths. Complications occurred in 27 patients but did not usually affect the eventual clinical outcome.

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Anal Sphincter Injury

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Complete anal sphincter complex disruption from intercourse: A case report and literature review

Anal sphincter injuries are uncommon injuries outside of obstetric practice — but they may cause disastrous complications. We present a case of complete anal sphincter disruption from anal intercourse in a 25 year old woman. Clinical management is presented and technical details of the repair are discussed. She had an uneventful post-operative course and good continence after days of follow up. This is one of a handful of reported cases of anal sphincter disruption secondary to anal intercourse.
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Complete anal sphincter complex disruption from intercourse: A case report and literature review

An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus anal sphincter.
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Obstetric anal sphincter injuries cause symptoms such as pain and faecal incontinence. How do you detect and address them? Health professionals involved in childbirth need to be aware of risk factors and symptoms to ensure women are adequately assessed and treated.
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