We describe the case of a patient with anal sphincter injury and fecal incontinence related to obstetric trauma, who was previously treated in another center with primary repair on 2 occasions and with recurrence of the tear, developing cloacal deformity. Transperineal perineoplasty with sphincter restoration was performed with overlapping technique, with immediate postoperative recovery of fecal continence, and during the 3-year follow-up, fecal continence was maintained.
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