BACKGROUND Our aim was to describe the range of perineal trauma in women with a singleton vaginal birth and estimate the effect of maternal and obstetric characteristics on the incidence of perineal tears. METHODS We conducted a prospective observational study on all women with a planned singleton vaginal delivery between May and September 2006 in one obstetric unit, three freestanding midwif...

BACKGROUND Damage to the perineum is common after vaginal delivery, and it can be caused by laceration, episiotomy, or both. This study investigated the effects of maternal position (lateral vs lithotomy) and other variables on the occurrence of perineal damage. METHODS A retrospective study included the examination of hospital records from 557 women. The effects of demographic characteristic...

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...

Background: Pelvic floor dysfunctions (PFDs) are commonly encountered in pregnancy, which may include urinary and fecal incontinence, pelvic pain, sexual dysfunction organ prolapse. Identifying these problems their risk factors pregnancy is crucial for prevention management. The primary outcome of this study to investigate the relationship between PFD symptoms pregnant women perineal ultrasonog...