Outcome of primary repair of obstetric anal sphincter injuries (OASIS): does the grade of tear matter?

Abstract

The greater likelihood of endosonographic anal sphincter defects in women with major tears compared with minor tears is the probable cause of the less favorable outcome of primary repair. Endosonographic combined defects are associated with poorer outcome and it is therefore important to identify the full extent of injury at delivery in women who sustain OASIS, and to pay particular attention to repair of IAS defects.