BACKGROUND Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data availabl...

Aims of Study The male perineal sling is a relatively new procedure for post prostatectomy incontinence that can be performed entirely through a perineal incision on an outpatient basis. Short-term results have been encouraging with 70% of patients becoming dry and another 10% showing improvement. (1) No urinary retention has been encountered. As with other sling procedures, the exact mechanism...

Two patients are presented in whom ischaemic colitis followed some years after abdomino-perineal excision of the rectum for carcinoma. The first patient was a young man without evidence of arterial disease and the second patient suffered from auricular fibrillation, thought to be due to ischaemic heart disease. Ligation of the inferior mesenteric artery in the operation of abdomino-perineal exc...

Perineal procedures have higher recurrence and lower mortality rates than abdominal alternatives for the treatment of rectal prolapse. Presence of incarceration and strangulation also influences treatment choice. Perineal rectosigmoidectomy is one of the treatment options in patients with incarceration and strangulation, with low mortality and acceptable recurrence rates. This operation can be ...

or supra-pubic lithotomy has to be performed, is not for a moment denied. Anything, however, which lessens this possibility is desirable. As I have already mentioned, 1 have performed 110 operations through the perinaeum, and I can confidently affirm that had it not been for my resort to this modified operation my litholapaxies would have been reduced and my lithotomies increased by this number...

OBJECTIVE To determine the utility of vaginal cones in the rehabilitation of the perineal muscles. METHODS A study was conducted on 134 women (mean age 31.8 years). The control group comprised 51 women (38%) and study the group comprised 85 patients (62%) undergoing rehabilitation of the perineal muscles with vaginal cones for a period of three months. Both groups were adjusted for statistica...

NURSING STANDARD PERINEAL WOUNDS commonly occur in women during labour (Albers et al 2005). A cross-sectional survey of 101 randomly selected NHS trusts in the UK in the mid-1990s revealed that 83% of low risk primigravidae experienced some form of perineal trauma (Williams et al 1998). Many women also experience labial tears, grazes or vulval varicosities which are painful (Steen 2007). Perine...

1. Loev MA, Varklet VL, Wilsey BL, Ferrante FM. Cryoablation: A novel approach to neurolysis of the ganglion impar. Anesthesiology 1998;88:1391-1393. 2. Plancarte R, Velazquez R, Patt RB. Neurolytic blocks of sympathetic axis. In: Patt R, ed. Cancer Pain. Philadelphia: JB Lippincott Publishers; 1993:417-420. 3. Wemm KJ, Saberski L. Modified approach to block the ganglion impar (ganglion of Walt...

Aim: This study aimed to assess the effects of prenatal Perineal Massage and Kegel exercise on the episiotomy rate. Subjects and Methods: Randomize controlled trial was carried out at Antenatal Outpatient Clinic and Labour and Delivery Ward at El Mansoura University Hospital, Egypt. This study comprised a random study sample of180 pregnant mothers out of randomized 225was recruited for this stu...

A 4-day-old Holstein bull calf with considerable oedema of the belly (water belly) was referred to theVeterinary Teaching Hospital of the School of Veterinary Medicine, Shiraz University. The owner did notobserve any urination since birth. Rupture of the urethra was suspected. Perineal urethrotomy was performed. Subsequently, catheterization of urethra revealed the obstruction near the external...