Clinical Research Directory

Inclusion Criteria: 1. Female patients who have sustained an obstetric anal sphincter injury after their most recent delivery and: 1. Are at least 6 weeks postpartum 2. Has not received any form of guided pelvic floor exercises by a licensed women's health physiotherapist postpartum 2. Either able to speak, read and write in English, or has a professional interpreter present at the time of appointment. 3. Capable of understanding and signing the informed consent form after full discussion of the investigations and its risks and benefits. 4. Able and willing to complete the St Mark's Score, ICIQ-UI SF and other trial related questionnaires, comply with scheduled clinic visits and manometry studies. Exclusion Criteria: * Inclusion Criteria 1. Female patients who have sustained an obstetric anal sphincter injury after their most recent delivery and: 1. Are at least 6 weeks postpartum 2. Has not received any form of guided pelvic floor exercises by a licensed women's health physiotherapist postpartum 2. Either able to speak, read and write in English, or has a professional interpreter present at the time of appointment. 3. Capable of understanding and signing the informed consent form after full discussion of the investigations and its risks and benefits. 4. Able and willing to complete the St Mark's Score, ICIQ-UI SF and other trial related questionnaires, comply with scheduled clinic visits and manometry studies. Exclusion Criteria 1. Women who have sustained an obstetric anal sphincter injury more than a year ago 2. Women who have had another vaginal delivery after sustaining an obstetric anal sphincter injury in a previous delivery. 3. Existing anal pain precluding anorectal examination 4. Existing neurological, musculoskeletal disorders which impedes ability to perform pelvic floor muscle exercises 5. Age \<18 years old 6. Currently pregnant 7. Inability to comply with pelvic floor muscle exercises