Secondary Repair of Third Degree Perineal Tear Leading to Fecal Incontinence in 2 Cases

Obstetric injury is the commonest cause of anal incontinence. According to Mr. Abdul H Sultan and Miss RaneeThakar, UK, who have done extensive work in this field, ‘Every woman who has a vaginal delivery has a 3rd or 4th degree tear until proved otherwise and a 3rd or 4th degree tear cannot be excluded without a rectal examination'. We report two cases of anal incontinence as a result of third degree perineal tear and complete disruption of the perineum secondary to childbirth. Secondary repair of anal sphincter and perineal reconstruction in a rural tertiary care hospital rendered excellent immediate clinical result.