||Anorectal / Bowel Dysfunction
||Obstetric anal sphincter injury Bowel dysfunction and conservative management Subsequent delivery
||Colorectal surgeon, Obstetrician and Gynaecologists, Urogynaecologists, Trainees, Clinical Scientists, Midwives, Physiotherapists and Nurses.
Aims and Objectives
The best management of OASIS is a multidisciplinary approach. This workshop will not only evaluate the most up-to-date evidence regarding the incidence, pathophysiology, clinical diagnosis, anorectal investigations, short term and long term bowel dysfunction and the conservative management following OASIS repair but will also provide guidance for evidence-based shared decision making regarding subsequent mode of delivery after OASIS. It is also an opportunity to raise awareness of bowel dysfunction in a society that predominantly focuses on urinary incontinence following birth trauma.
This workshop aims to familiarise delegates with the mechanisms of OASIS, the management of associated bowel dysfunction, and provide guidance for evidence-based shared decision making regarding subsequent mode of delivery after OASIS.
At the end of the workshop the participants should be able to:
1. Understand the anatomy and physiology of the pelvic floor including the anal sphincter complex.
2. Recognise and classify OASIS following endoanal ultrasound assessment.
3. Understand anorectal physiology following OASIS.
4. Identify and evaluate bowel dysfunction following OASIS.
5. Understand the management of lower bowel dysfunction following OASIS.
6. Understand the long-term consequences of OASIS.
7. Identify preventative measures of OASIS.
8. Identity interventions to reduce the risk of recurrent injury and associated harms.
9. Understand the process of decision-making about subsequent mode of delivery.