© 2007

Perineal and Anal Sphincter Trauma

Diagnosis and Clinical Management

  • Abdul H. Sultan
  • Ranee Thakar
  • Dee E. Fenner
  • Summarises the recent research and new information for perineal and anal sphincter trauma which needs to be more widely publicised in terms of best practice

  • Provides a step-by-step approach to the understanding of perineal anatomy and tips on how to make an accurate diagnosis and classify perineal trauma


Table of contents

  1. Front Matter
    Pages I-XII
  2. Ranee Thakar, Dee E. Fenner
    Pages 1-12
  3. Abdul H. Sultan, Christine Kettle
    Pages 13-19
  4. Christine Kettle, Dee E. Fenner
    Pages 20-32
  5. Abdul H. Sultan, Ranee Thakar
    Pages 33-51
  6. Ranee Thakar, Erica Eason
    Pages 52-64
  7. Ranee Thakar, Abdul H. Sultan
    Pages 65-79
  8. Harry Gordon
    Pages 80-88
  9. Peter J. Lunniss, S. Mark Scott
    Pages 89-101
  10. S. Mark Scott, Peter J. Lunniss
    Pages 102-122
  11. Clive Bartram, Abdul H. Sultan
    Pages 123-132
  12. Christine Norton
    Pages 133-143
  13. Robin K. S. Phillips, Timothy J. Brown
    Pages 144-153
  14. Rebecca G. Rogers, Dee E. Fenner
    Pages 166-177
  15. Nicholas A. Peacock, Kara Jennings, Kjell Erik Roxstrom
    Pages 178-187
  16. Back Matter
    Pages 189-195

About this book


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.


Anorectal Incontinence Obstetric Anal Sphincter Trauma imaging perineum sphincter trauma

Editors and affiliations

  • Abdul H. Sultan
    • 1
  • Ranee Thakar
    • 2
  • Dee E. Fenner
    • 3
  1. 1.Consultant Obstetrician and GynaecologistMayday University HospitalCroydonUK
  2. 2.Consultant Obstetrician and UrogynaecologistMayday University HospitalCroydonUK
  3. 3.Furlong Professor of Women’s Health Director of Gynecology Department of Obstetrics and GynecologyUniversity of MichiganAnn ArborUSA

Bibliographic information

Industry Sectors
Health & Hospitals
Surgery & Anesthesiology


From the reviews:

"This book provides a comprehensive overview of all aspects related to perineal and anal sphincter trauma … . The book represents a valuable resource for those who are involved in the management of perineal and anal sphincter trauma to further their knowledge and understanding of this emerging field and advance their skills in patient care. … it is suitable for obstetricians, midwifes, urogynaecologists and colorectal surgeons. It should be in the library of every hospital where obstetric care is provided." (Sharif I. M. F. Ismail, International Urogynecology Journal, Vol. 20, 2009)