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Anal incontinence after OASI — DRCOG MCQ

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HardUrogynaecologyAnal incontinence after OASIDRCOG

Nine months after a third-degree tear, a woman has urgency and intermittent faecal leakage despite pelvic-floor exercises. What is the most appropriate referral?

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Correct answer: CRefer to a perineal or colorectal service

Persistent bowel symptoms after obstetric anal sphincter injury need specialist perineal or colorectal assessment. Evaluation can guide physiotherapy, investigation and counselling for future births.

Reference: RCOG Green-top 29: Perineal tears: https://www.rcog.org.uk/media/5jeb5hzu/gtg-29.pdf