Background
Traumatic disruption of the female perineum is not uncommon. Women are at risk during parturition; additionally, their increasing participation in sports activities increases the incidence of injury to this area. Tragically, women continue to be the victims of sexual abuse; however, many of these injuries involve only superficial structures and heal spontaneously with local care. When tissue disruption extends to deeper tissue planes or involves the vascular anatomy or structural integrity of the perineal support system, operative intervention is required.