This study reports on the surgical anatomy and technique of perineal repair in a selected group of parous women with faecal incontinence and/or difficulty in evacuation. Anal sphincter muscle damage is usually attributed to childbirth, although most of these women present for the first time years later. Consecutive patients with the above symptoms were examined clinically and then investigat...

We present the case of a patient who delivered her baby through the perineal body with an intact vaginal introitus. Damage to the perineal body through its connection to the external anal sphincter can involve the rectovaginal septum with increased morbidity and thought to be linked to rectocele development.

veloped from the popular Procedure for Prolapse and Hemorrhoids (PPH) for symptomatic hemorrhoids. It is becoming a recommended surgical treatment for the obstructed defecation syndrome (ODS) secondary to internal rectal intussusception and rectocele. Constipation and fecal incontinence are commonly encountered challenging clinical problems in the practice of colorectal surgeons and gastroenter...