The first question is why the operator did not stick his finger in her rectum and feel "tone". Ususally with rectal incontinence there is essentially no tone to the 'feel' on digital exam. It is true that if she had a spinal or epidural or a paralytic agent this exam may not be informative.
The way you reconstruct new "anus" is to access and mobilize the muscle (anal sphinctor) and sew the ends together (Theirsch Operation). This is done mostly after the anus is torn at childbirth. A perineorraphy is another method for chronicity of the anterior asoect if the anus. There are several other designed proceedures.
For exatremely difficult problems there is a very difficult proceedure where the gracilis muscle is mobilized from the posterior aspect of the leg, preserving blood supply and innervation, and 'threaded in the region where the anus was located. This proceedure is for loss of the rectum, usually due to cancer or radiation injury to the rectum.
I suspect this woman had a problem which went unrecognized after childbirth, and had a Theirsch or perhaps a sphinctorrhaphy of some type. We cannot know from the information presented.
What we can determine is that she now will own the doctor and hospital.
ping
Who’da thunk FR would have its own expert on anal surgery....?
Geez, I scrubbed on one of those when I was a fourth year med student. In addition to having to stand there holding retractors for 5 hours, I kept feeling that I was watching a Frankenstein movie.
Well, her sphinctor ain't haphy.
Thank you for sharing. I know that's the first question that came to my mind, for sure.
Eeeeeuuuuw!
Cordially,
I found it funny that a Texas Songwriter would be an expert on anus surgery.
Sorry.
Think that you can put all of that in a song?
Maybe just hum a few bars ...........
.<)
>> This is done mostly after the anus is torn at childbirth. <<
Bono, is that you? #2? (South Park reference)