A 30-year-old woman presents to the GP 3 weeks after delivery. She had a third-degree perineal tear that was repaired in theatre. She is now complaini...

Question

A 30-year-old woman presents to the GP 3 weeks after delivery. She had a third-degree perineal tear that was repaired in theatre. She is now complaining of faecal urgency and occasional leakage of flatus. Which is the single most appropriate management?

Accepted Answer

Refer to the specialist perineal clinic for follow-up at 6-12 weeks postpartum

Answer

Prescribe loperamide and reassure

Answer

Advise pelvic floor exercises only

Answer

Arrange an endoanal ultrasound immediately

Answer

Reassure that symptoms will resolve completely without intervention

uk-drcog MCQ (SBA): Third-Degree Tear Follow-up

A 30-year-old woman presents to the GP 3 weeks after delivery. She had a third-degree perineal tear that was repaired in theatre. She is now complaining of faecal urgency and occasional leakage of flatus. Which is the single most appropriate management?