BACKGROUND The transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than two years, and complications are probably underreported. The aim of this study was to describe early and late complications associated with TOT procedures and identify risk factors for erosions. METHO...

BACKGROUND Routine episiotomy is a controversial issue among gynecologists. The aim of this study was to compare early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparus vaginal delivery. METHODS In this descriptive cross-sectional study, two groups of primiparus normal vaginal delivery (NVD) cases with routine and restrictive episiotomy were st...

A 26-year-old male with a history of a work-related back injury presented to the emergency department complaining of several weeks of low back pain radiating down his left leg. For the past day, he noticed numbness to his perineal area and feet bilaterally, and difficulty urinating. He denied recent trauma, leg weakness, or fevers. Physical examination revealed perineal anesthesia and decreased...

OBJECTIVE To compare two policies for episiotomy: restrictive and systematic. PATIENTS AND METHODS It is a quasi-randomised comparative study between two French university hospitals with contrasting episiotomy policies: one using it restrictively and the second routinely. Population included 774 nulliparous women delivered during 1996 of a singleton in cephalic presentation at a term of 37-41...

Purpose: Retrospective review of CT-guided pudendal nerve blockade for chronic pelvic pain caused by pudendal neuralgia. Materials & Methods: The study included 23 patients (average age, 40.6 yr; range, 25 71 yr) diagnosed with pudendal neuralgia. Diagnostic criteria were: pain in the anatomic distribution of the pudendal nerve, pain worsening with sitting, pain relieved by lying down, and no s...

PURPOSE Proximal femoral excision is a salvage procedure for painful chronic hip dislocation in cerebral palsy (CP) patients. The primary objective of this article is to describe our experience of an amplified interposition myoplasty, with appropriate peri-operative pain and tone management strategies, in a cohort of non-ambulatory CP patients with painful chronic hip dislocation. Our secondary...

BACKGROUND AND OBJECTIVES Hemorrhoidectomy may be performed under several anesthetic techniques and in outpatient regimen. Postoperative pain is severe and may delay discharge. This study aimed at evaluating bilateral pundendal nerves block for post- hemorrhoidectomy analgesia. METHODS Bilateral pundendal nerves block with 0.25% S75:R25 bupivacaine was performed with nerve stimulator in 35 pa...

BACKGROUND One of the most important problems after episiotomy is perineal pain which is more severe on the first day of postpartum period. The aim of this study was to compare the analgesic effects of indomethacin suppository and lidocaine cream in the management of post-episiotomy pain. MATERIALS AND METHODS In a randomized, controlled trial, 60 primiparous women who had mediolateral episio...

BACKGROUND Neuromodulation is an effective and reversible treatment option for chronic intractable pain. Spinal cord stimulation (SCS) represents a field of application of neuromodulation and is known to be effective for several conditions including complex regional pain syndrome (CRPS), failed back surgery syndrome (FBSS), and chronic leg and back pain. SCS has some technical limitations that ...

GOAL To share our experience of extra-levator abdominoperineal excision (ELAPE) for low rectal cancer, focusing on perineal repair with biological mesh. METHODS We retrospectively analyzed medical records of all patients with low rectal cancer who underwent the ELAPE procedure using biological mesh for perineal repair at the Gastrointestinal Surgery of Nanjing Drum Power Hospital between Janu...