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Keywords:

  • anal incontinence;
  • anal manometry;
  • endoanal ultrasound;
  • multidisciplinary team;
  • obstetric anal sphincter injury
  • • 
    All women sustaining obstetric anal sphincter injury should be reviewed at 6–12 weeks postpartum.
  • • 
    All women with anal incontinence should be offered endoanal ultrasound, anorectal physiology testing and review by a clinician with experience in anal sphincter injury.
  • • 
    A perineal clinic provides the setting for debriefing and provision of consistent, accurate information from clinicians with a special interest in sphincter injury.

Learning objectives:

  • • 
    To be aware of the benefits of a perineal clinic.
  • • 
    To learn how to set up a perineal clinic.

Ethical issues:

  • • 
    Should anorectal testing be a routine part of the follow-up of all women after anal sphincter injury or restricted to symptomatic women?
  • • 
    Who is responsible for debriefing women sustaining anal sphincter injury?

Please cite this article as: Fowler G, Williams A, Murphy G, Taylor K, Wood C, Adams E. How to set up a perineal clinic. The Obstetrician & Gynaecologist 2009;11:129–132.