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.

Perineal and Anal Sphincter Trauma is a comprehensive text that focuses on the maternal morbidity associated with childbirth. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based book that includes the diagnosis, pathophysiology, management and prevention of obstetric trauma. Previous surveys have indicated that the majority of doctors and midwives have suboptimal training in anatomy and repair of perineal and anal sphincter trauma. This book addresses these deficiencies by providing a step-by- step approach in the understanding of perineal anatomy and provides tips on how to make an accurate diagnosis and classifiy perineal trauma. The dilemmas surrounding repair techniques and management of subsequent pregnancies are fully debated and preventative strategies are highlighted. Chapters on female genital mutilation, the management of faecal incontinence and medicolegal issues are also included. This book is essential reading for anyone involved in obstetric care such as obstetricians, midwives, and family practitioners but will also be of interest to colorectal surgeons, gastroenterologists, physiotherapists, continence advisors, and lawyers.