In the past year or two we have treated 3 patients who had rectal complications manifested soon after episiotomy. Two of the patients had typical fistulae in ano, and the third had rectal pain but no definite fistula. A brief summary of their histories will be given later.
Although rectal complications of episiotomy seem of minor importance, they are extremely annoying and are of great concern, especially since they follow the ordeal of childbirth.
An attempt was made to review the literature on the subject, but apparently little has been written, since only one such article was indexed at the Surgeon General's library. That article was by Dr. J. J. Corbett,1 who in 1938 reported 6 cases of rectal fistulas which developed after episiotomy. Because of the paucity of reports, in spite of the fact that these complications are not uncommon, we will attempt to outline briefly the most