Early repair of episiotomy dehiscence

Obstet Gynecol. 1990 Jan;75(1):48-51.


Early repair of episiotomy dehiscence was performed in 22 women with an initial fourth-degree episiotomy, four with third-degree episiotomy, and five with a mediolateral episiotomy. Early complications were limited to development of a pinpoint rectovaginal fistula in two women, both subsequently repaired by a rectal mucosal flap procedure. Of the 27 women now 1 year or more post-repair, all are completely continent and report resumption of normal coital activity.

MeSH terms

  • Dyspareunia / etiology
  • Episiotomy* / adverse effects
  • Fecal Incontinence / etiology
  • Female
  • Follow-Up Studies
  • Humans
  • Postoperative Care
  • Pregnancy
  • Surgical Wound Dehiscence / surgery*
  • Time Factors