PFD Week 2016-Combined Management of Traumatic Perineal Cloaca Using A Biologic-grafted Transvaginal Technique and Interstim

Combined Management of Traumatic Perineal Cloaca Using A Biologic-grafted Transvaginal Technique and Interstim

Video Transcription

Video Summary

The 34-year-old patient in the video initially presented with fecal incontinence and perineal pain due to a previous failed repair of a fourth-degree obstetric laceration. The patient had undergone an overlapping sphincteroplasty but continued to experience fecal incontinence, flatus, liquid stool, and sexual dysfunction. Diagnosis was confirmed with endoanal ultrasonography. Traumatic perineal ploaca, a rare condition characterized by communication between the anal canal and vagina, was identified as the cause. A combined surgical approach was planned, including repair of vaginal interseal, rectoseal, and perineoplasty. The patient experienced significant improvement in continence and sexual function postoperatively. The final CRADY score was 4 out of 32. No specific credits were provided.

Asset Subtitle

Catherine O Hudson, MD

Meta Tag

Category Fecal Incontinence

Category Surgery - Congenital Anomalies

Keywords

fecal incontinence

perineal pain

obstetric laceration

sphincteroplasty

endoanal ultrasonography