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Repair of a traumatic cloaca after obstetric anal sphincter injury

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Abstract

Introduction and hypothesis

Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair.

Methods

A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps.

Results

Anatomy and fecal continence have been completely restored by a follow-up of 24 months.

Conclusion

The procedure described in this video has been shown to be effective and safe.

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References

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Author information

Authors and Affiliations

  1. Università Milano Bicocca, Azienda Ospedaliera San Gerardo, Via Pergolesi, 33-20900, Monza, MB, Italy

    Federico Spelzini, Matteo Frigerio, Stefano Manodoro, Debora Verri, Elena Nicoli & Rodolfo Milani

Authors
  1. Federico Spelzini
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  2. Matteo Frigerio
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  3. Stefano Manodoro
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  4. Debora Verri
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  5. Elena Nicoli
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  6. Rodolfo Milani
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Corresponding author

Correspondence to Federico Spelzini.

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Consent

Consent was obtained from the patient for publication of this video article and any accompanying images.

Conflict of interest

None.

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Cite this article

Spelzini, F., Frigerio, M., Manodoro, S. et al. Repair of a traumatic cloaca after obstetric anal sphincter injury. Int Urogynecol J 27, 495–497 (2016). https://doi.org/10.1007/s00192-015-2866-7

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  • DOI: https://doi.org/10.1007/s00192-015-2866-7

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