INTRODUCTION The aim of this review is to provide an overview of the evidence for the use of biologic mesh in the reconstruction of the pelvic floor after extralevator abdominoperineal excision of the rectum (ELAPE). METHODS A systematic search of PubMed was conducted using the search terms: "ELAPE," "extralevator abdominoperineal excision of rectum," or "extralevator abdominoperineal resecti...

Perineal reconstruction is an essential component of the overall treatment plan of perineal electric burn, but it is a very difficult and complex job. The modified thoraco-umbilical flap may be a perfect way of repairing perineal area. It is based on the deep inferior epigastric artery and vein and the superior epigastric artery and vein, which look like the “reverse TRAM flap”. The large flap ...

Objective To identify the association between perineal trauma and pain in 473 primiparous women. Method Cross-sectional study in which pain was measured by the numerical pain scale (0 to 10 - 0 being no pain and 10 maximal pain). Results The prevalence and mean intensity of pain were 33.0% and 4.7 points (standard deviation = 2.0) in the numeric scale, respectively. Episiotomy represented the m...

OBJECTIVE To report our experience in treating patients with rectal injury with radical perineal prostatectomy. METHODS Medical charts of 176 patients submitted to radical perineal prostatectomy from 1996 to 2005 were reviewed to identify rectal problems. A review of rectal injury in prostatectomy is provided. RESULTS Of 176 patients who underwent radical perineal prostatectomy, 10 (5.7%) h...

A pseudo-tail is defined as a tail-like lesion in the lumbosacrococcygeal region that is not a true tail but one caused by disease. Perineal lipoma is one of the conditions that may present as a pseudo-tail. Congenital perineal lipoma is a rare disease and in particular, isolated congenital perineal lipoma without other anomalies is extremely rare. Here we report a case of congenital isolated p...

2. Definition of perineal trauma Anatomically, the perineum extends from the pubic arch to the coccyx and is divided into the anterior urogenital and posterior anal triangle. Anterior perineal trauma is defined as injury to the labia, anterior vagina, urethra or clitoris. Posterior perineal trauma is defined as any injury to the posterior vaginal wall, perineal muscles or anal sphincters and ma...

Rectal lesions without anal sphincter trauma in childbirth are only sporadically described in literature. We describe the case of a 29-year-old primigravida who delivered a child in frank breech presentation. During the second stage of labour a foot presented transanally through a rectal laceration with intact anal sphincters. The laceration was repaired immediately after delivery in theatre. F...

Perineal urethrostomy is considered to be the last option to restore voiding in complex/recurrent urethral stricture disease. It is also a necessary procedure after penectomy or urethrectomy. Stenosis of the perineal urethrostomy has been reported in up to 30% of cases. There is no consensus on how to treat a stenotic perineal urethrostomy, but, in general, a form of urinary diversion is offere...

Introduction The perineal swelling can be due to hernia, accumulation of fluid or some timorous growth however, perineal hernia is found to be most common cause of such swellings (Sharma et al., 2010). Perineal hernia is protrusion of the abdominal or the pelvic viscera through the pelvic diaphragm which supports the rectal wall (Tyagi and Singh, 2010). The pelvic diaphragm which controls entry...