Abstract

We describe the case of a patient with anal sphincter injury and fecal incontinence related to obstetric trauma, who was previously treated in another center with primary repair on 2 occasions and with recurrence of the tear, developing cloacal deformity. Transperineal perineoplasty with sphincter restoration was performed with overlapping technique, with immediate postoperative recovery of fecal continence, and during the 3-year follow-up, fecal continence was maintained

Keywords

anal sphincteroplasty, fecal incontinence, perineoplasty, 4th degree perineal tear of obstetric origin