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

Thursday 26 March 2026

In-person | RCOG, London

Overview 

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 Professor Abdul Sultan and Professor 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 recognised perineal trauma third/fourth degree hands-on 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

Disclaimer: RCOG is not responsible for the content of any non-RCOG website linked from this page. Cookies: Links within this page may lead to the RCOG website which uses cookies for a number of reasons. Read the RCOG Privacy Policy and Data Protection Policy. Limitations of use: Under no circumstances shall RCOG be liable for any special or consequential damages arising from the use or reliance on information contained within this page.