Step 4 of the Four-Step Process to become a PROTECT-trained trainer is the submission of personal videos. The videos must demonstrate your live surgical technique, including audio or text explanation of the points outlined below in the scoring criteria. Below you’ll find more information on submitting videos and the criteria for scoring them.
Watch First: How to Prepare Your Submission
Before proceeding with Step 4, it is essential to watch the instructional videos. These offer vital guidance on how to correctly prepare and record your surgical submissions. Watching them in advance is crucial to ensure that your video meets the expected standards and aligns with the assessment criteria.
You can access the PROTECT Video tutorials in two ways:
- Log in to the IUGA Members Only section and navigate to the IUGA Academy, where you can download the video tutorials listed under the tile “PROTECT Video Tutorials – Step 4.”
- Alternatively, purchase a USB flash drive via Perineum.net (UKP 40) containing the video series Diagnosis and Repair of Acute Obstetric Perineal Trauma. This updated video series (13 videos) illustrates the anatomy of the perineum and anal sphincter and provides tips on the diagnosis of 3rd and 4th degree tears. Step by step repair of 3rd and 4th degree tears in the Sultan model, pig and postpartum woman is demonstrated. The repair of a mediolateral episiotomy is also included. Order the USB Flash drive via Perineum.net
Submission of Videos
- Please submit your videos to the IUGA Office through the following link.
- Please note that a consent form from the subject/patient in the videos must be submitted to the IUGA Office at
This email address is being protected from spambots. You need JavaScript enabled to view it. . Please use the consent forms used by your own institution.
Criteria for Scoring Video Submissions
- Please ensure that each criterion is clearly demonstrated in order to pass.
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EPISIOTOMY |
OBSTETRIC ANAL SPHINCTER INJURY (3B,3C, 4 only) |
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Demonstration of proper rectal examination before repair to exclude OASIS or button-hole tear |
Demonstration of a proper rectal examination technique before repair |
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Pill-rolling of the anal sphincter from 9-3 o’clock to confirm intact or tear |
Demonstrating a pill-rolling examination |
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Identifying and demonstrating apex of vaginal laceration before suture insertion |
Demonstrating classification of tear (3a,3b,3c,4) |
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Technique of repair with a continuous suture for all 3 layers |
Identification of EAS** and demonstrating full length and thickness of tear |
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Ensuring and demonstrating location and repair of bulbospongiosus muscle |
Demonstrating IAS* location and tear if present |
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Ensuring and demonstrating location and repair of superficial transverse perineal muscle |
Performing a finger-lift test of the anal sphincter before repair |
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Suture material - Vicryl rapide 2-0 (explanation if not used) |
Demonstrating the superficial transverse perineal muscles |
| Good apposition of muscle and skin |
Demonstration of ischioanal fat (when necessary) |
| Demonstration of per rectal examination after repair |
Suturing mucosa if 4th degree tear with continuous Vicryl 3-0 |
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Quality of video for demonstration and teaching purposes |
Repair of IAS* (end-to-end), preferably PDS 3-0 |
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Demonstrating full-length of EAS** tear before repair |
| Repair of EAS** – End-to-end, preferably PDS 3-0 (Overlap only acceptable if full thickness 3b or greater) | |
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Demonstration of per rectal examination after repair |
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Appropriate suture material (PDS 3-0 or Vicryl 2-0 for sphincters) |
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Quality of video for demonstration and teaching purposes |
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