Anal Sphincter Injury: DX and Implications for Future Pregnancies_OnDemand-Recording: Anal Sphincter Injury: DX and Implications for Future Pregnancies

Video Transcription

Video Summary

The Augs Urogynecology webinar, led by Dr. Katherine Husk and featuring Dr. Leeshan Kiros, addressed anal sphincter injuries related to childbirth, their diagnosis, and implications for future pregnancies. Dr. Kiros, an expert in urogynecology renowned for her work with 3D pelvic floor ultrasounds, analyzed the risks and anatomy associated with sphincter injuries. Key risk factors for obstetric anal sphincter injuries (OASIS) include operative vaginal delivery and a history of perineal trauma. The importance of prevention, including modifiable factors like opting for a medial lateral episiotomy over a midline one, was emphasized to reduce risks during childbirth. <br /><br />A significant portion of the webinar focused on diagnosis and repair techniques for sphincter injuries, highlighting the need for proper education and simulation training due to decreased hands-on experience with episiotomies and operative deliveries. Antibiotic use was encouraged to prevent post-repair infections. Advanced imaging techniques, like endoanal ultrasound, are recommended for assessment. The webinar concluded with insights on counseling patients regarding future pregnancies and the long-term impact on pelvic and sexual health. Dr. Kiros underlined the importance of perineal clinics for specialized follow-ups and the dissemination of this knowledge to general practitioners to improve patient outcomes.

Keywords

Urogynecology

Anal sphincter injuries

Childbirth

3D pelvic floor ultrasound

Obstetric anal sphincter injuries

Episiotomy

Diagnosis and repair

Pelvic health