Background: Pain and wound dehiscence cause physical emotional traumas, impacting the mothers' quality of life, mental health, maternal-child bonding. Objectives: The present study aimed to examine effect self-perineal care (SPC) education on episiotomy pain scores healing outcomes. Methods: A quasi-experimental design was used in this study. In third trimester, 125 primigravida mothers attende...

BACKGROUND Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition. CASE PRESENT...

Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made between those whose perineal skin was sutured with a subcuticular polyglycolic acid (;Dexon') st...

We present a descriptive study based on the data from two clinical trials conducted at a maternity hospital in São Paulo, Brazil, in 2008 and 2009. This study aimed to describe perineal temperature after the application of an ice pack during the postpartum period. Three groups of 38 postpartum women (n=114 total) received an ice pack between 2 and 48 h after delivery. The results showed that af...

The purpose of this case report is to demonstrate the use of bone anchors with an autologous flap in perineal reconstruction. This technique has not been reported before. A 64-year-old female presented to our office with a chief complaint of perineal hernia 1.5 years after abdominoperineal resection. She had a history of recurrent rectal cancer for which she received chemotherapy, radiation and...

OBJECTIVES To evaluate efficacy of ibuprofen compared with acetaminophen for relief of perineal pain after childbirth, side effects of ibuprofen compared with acetaminophen and patient satisfaction in treatment between the 2 groups. MATERIAL AND METHOD A total of 210 women who gave birth by spontaneous vaginal delivery with mediolateral episiotomy between June 2006 and November 2006 were rand...

Vaginal injuries following perineal trauma are relatively rare. Vaginal evisceration is even rarer accounting for less than 1% of all trauma to the perineum [1]. These injuries are associated with minimal symptoms and signs. Perineal or lower abdominal pain with vaginal bleeding are the common complaints and investigations such as erect abdominal x-ray or abdominal ultra-sonography may not demo...

One thousand women were allocated at random to one of two perineal management policies, both intended to minimise trauma during spontaneous vaginal delivery. In one the aim was to restrict episiotomy to fetal indications; in the other the operation was to be used more liberally to prevent perineal tears. The resultant episiotomy rates were 10% and 51% respectively. An intact perineum was more c...

Most of the publications about the surgical treatment of pudendal neuropathy are only interested by pain (1,2). This point of view is too reducing for a perineologist (3,4). Indeed, the compression or the stretch of one or the two pudendal nerves can provoke, besides perineodynia (pain) classically worse in seated position, proctalgia fugax, vulvodynia, urinary incontinence, anal incontinence o...

OBJECTIVE To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device. METHODS An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue...