What kind of tear is this??? - Mothering Forums

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#1 of 2 Old 05-24-2014, 09:48 PM - Thread Starter
 
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My tear didn't heal right. It was stitched, horribly. I'm having surgery in 2 weeks to correct it. I had a second degree tear, and it healed badly- the perineum was not stitched up all the way (it's a good 2-3 cm below where it used to "start"), and there is a "pocket" that goes down and to the right inside, as well as a skin tag on the outside. Internally, the transverse muscle (and maybe bulbocavernosus)was not stitched together, so there is little to no muscle reaction on the right side. The only way to tell this for sure is an MRI (says the pelvic surgeon specialist i am going to). 

 

What i'm curious about.... is if I actually had a sulcus tear from birth and no one told me, because the vaginal rugae tissue all along the right side and up about 3 inches inside- is just OPEN, which increases the diameter of my vagina by ALOT, it goes downward into a pocket as I said, and then just on and on until you hit bone. It's really weird. Is that a sulcus tear that wasn't stitched together?

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#2 of 2 Old 05-24-2014, 10:57 PM
 
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In Australia we don't generally use the classification 4th degree tear. So a 3rd degree tear here is one which involves the anal sphincter or rectal mucosa. I suspect that if you had a tear involving the anal sphincter or rectum and it wasn't repaired properly that you would have some degree of faecal incontinence or leaking or possibly even a fistula. If you don't have these symptoms then my guess (without examining you obviously) is that you have a deep second degree tear. Which should have been repaired in layers starting with a deep muscle repair and ending with the vaginal mucosa.The person doing the repair should also have done a digital rectal examination when they'd finished to make sure there were no sutures or holes in the rectal mucosa.

I believe in the US, the term 3rd degree tear is used to describe a tear which extends to but not through the anal sphincter. By that definition it may be a 3rd degree tear. The person doing the repair may be able to tell you but there has probably been some healing so it may be difficult to tell the extent of the original injury.

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