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Delayed Surgical Reconstruction of Chronic Fourth-Degree Perineal Laceration: Impact on Female Sexual Function - A Case Report Hasanuddin; Roziana; Zahara, Fatimah
Journal of International Surgery and Clinical Medicine Vol. 5 No. 2 (2025): Available online : 1 December 2025
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v5i2.75

Abstract

Introduction : Among the gravest complications occurring during childbirth are fourth-degree perineal lacerations, characterized by complete disruption of the anal sphincter mechanism with potential for persistent sequelae including fecal incontinence and impaired sexual health. These traumatic injuries profoundly compromise women's wellbeing, with sexual health disturbances documented in 30-60% of affected women three months following delivery. The Female Sexual Function Index (FSFI) provides validated assessment across six critical dimensions: libido, arousal capacity, vaginal lubrication, orgasmic function, overall satisfaction, and dyspareunia. Case presentation: We present the clinical course of a 33 year old multiparous woman who sought consultation nine months postpartum with chronic fourth-degree perineal disruption accompanied by anal incontinence and sexual dysfunction. Initial FSFI assessment revealed a score of 16.2, demonstrating substantial sexual impairment. Surgical intervention employed a comprehensive ten-stage reconstruction protocol involving systematic restoration of anal mucosa, internal and external sphincter components, vaginal wall integrity, and perineal tissue architecture. At five-month postoperative evaluation, the patient exhibited complete continence restoration and remarkable sexual function recovery, with FSFI scoring advancing to 28.0, indicating normalization of sexual health parameters. Quality of life indicators demonstrated meaningful enhancement across all assessed dimensions. Conclusion: Secondary reconstruction of chronic fourth-degree perineal disruptions can successfully restore both continence mechanisms and sexual function when executed using meticulous surgical methodology. Prompt recognition and appropriate timing of intervention remain paramount for achieving optimal patient outcomes and restoring quality of life.
Analisis Maqāṣid al-Syarī‘ah terhadap Penyaluran Program Bantuan Rumah Layak Huni Baznas: Studi Kasus Baznas Kabupaten Nias Zai, Khaeran Nadyah; Zahara, Fatimah
Jurnal Alwatzikhoebillah : Kajian Islam, Pendidikan, Ekonomi, Humaniora Vol. 12 No. 2 (2026): Jurnal Alwatzikhoebillah : Kajian Islam, Pendidikan, Ekonomi, Humaniora
Publisher : Institut Agama Islam Sultan Muhammad Syafiuddin Sambas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37567/alwatzikhoebillah.v12i2.5461

Abstract

This study aims to analyze the implementation of the Livable Housing Assistance Program (RLH), the mechanism of zakat distribution, and its conformity with the perspective of maqāṣid al-sharī‘ah. The problem addressed in this study is that although the RLH program by BAZNAS of Nias Regency serves as an effort to utilize zakat funds to assist low-income communities, there remains a gap between the high demand for livable housing and the limited realization of assistance. This research is motivated by the large number of uninhabitable houses in Nias Regency and the limited collection of zakat funds, which contribute to the disparity between needs and program implementation. This study employs an empirical legal research method with a qualitative approach, using interviews and literature review as data collection techniques. The findings indicate that the RLH program is implemented systematically and in a targeted manner, providing positive impacts on the beneficiaries’ quality of life. From the perspective of maqāṣid al-sharī‘ah, the program fulfills the aspects of protection of religion, life, intellect, lineage, and wealth, thus functioning not only as a consumptive aid but also as an empowerment instrument in achieving sustainable social welfare.