Management of Fourth-Degree Obstetric Anal Sphincter Injury and Rectal Buttonhole Tears

25 July 2024

In-person | RCOG, London


Please note this course is now fully booked. Please contact to be added to the waiting list.

This in person event is a critical one-day course offering a deep dive into the management of fourth-degree obstetric anal sphincter injury and rectal buttonhole tears.  

Designed in response to the significant impact these injuries have on women's quality of life and the subsequent legal implications, this course equips clinicians with the skills, latest techniques and insights for confident management of these conditions. 

Led by experienced clinicians, including Abdul Sultan and RCOG President Ranee Thakar, the event features a comprehensive programme including lectures, workshops, panel discussions and practical teaching sessions.

This course is particularly relevant for its focus on improving clinical outcomes in the treatment of childbirth-related trauma, including how to manage perineal and OASI wound breakdown and subsequent pregnancy after OASIs.

This course is suitable for those who have already completed a third degree repair course, in particular ST5 to ST7 trainees, SAS doctors and consultants in O&G.

Key reasons to attend

  • Understand the management of childbirth traumas that affect long-term quality of life
  • Gain insights into how these conditions lead to patient complaints and legal challenges
  • Learn from experts about repairing significant tears and managing complex perineal and OASI wound breakdowns
  • Connect with other professionals and engage in discussions on leading practices and challenges
  • Hear from the RCOG faculty