Injuries to the buttocks and the perineal region is a comparatively rare presentation with thermal burns. The patients present with chronic constipation, difficulty in hip abduction and restriction of sexual functions. Complications such as gluteal pouching with hooding of the rectum have also been described. Release and reconstruction of the defect is a challenge with an extra dimension to the contracture, which on release creates a raw area much bigger than expected. Reconstruction of the gluteal fold and cleft is another challenge and requires careful planning as contracture of the gluteal fold may result in anal verge being pulled up. We discuss management of a post burn contracture of the gluteal fold in this article. 

Keywords: Post Burn Contracture; Perineal Contracture; Buttock Contracture; Gluteal Pouching.