How to set up a perineal clinic

Key content: All women sustaining obstetric anal sphincter injury should be reviewed at 6-12 weeks postpartum. All women with anal incontinence should be offered endoanal ultrasound, anorectal physiology testing and review by a clinician with experience in anal sphincter injury. A perineal clinic provides the setting for debriefing and provision of consistent, accurate information from clinicians with a special interest in sphincter injury. Learning objectives: To be aware of the benefits of a perineal clinic. To learn how to set up a perineal clinic. Ethical issues: Should anorectal testing be a routine part of the follow-up of all women after anal sphincter injury or restricted to symptomatic women? Who is responsible for debriefing women sustaining anal sphincter injury?