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...

BACKGROUND We examined the obstetric outcomes of singleton vaginal deliveries in women with cerclage at our institute to confirm the risk of intrapartum cervical lacerations in vaginal deliveries of women with cerclage. METHODS Data on all Japanese singleton vaginal deliveries at ≥ 34 weeks' gestation managed at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2014 were c...

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...

BACKGROUND Pubic or perineal shaving is a procedure performed before birth in order to lessen the risk of infection if there is a spontaneous perineal tear or if an episiotomy is performed. OBJECTIVES To assess the effects of routine perineal shaving on admission in labour on maternal and neonatal outcomes, according to the best available evidence. SEARCH STRATEGY The register of clinical t...

Perineal hernia is the protrusion of an intra-abdominal structure into the perineal area, that could be primitive or secondary to trauma or abdominoperineal resection. Main treatment could be transabdominal, transperineal or combined. Here is a rare case of anterior perineal hernia in a young saxophone male patient, treated with a mininvasive perineal approach. A 25-year-old Caucasian male pati...

This study was designed to compare the infection rates of simple lacerations irrigated with tap water versus sterile normal saline before repair. Patients with simple lacerations to an extremity that were less than 8 hours from injury were prospectively enrolled. Exclusions from the study were: dog bites, hand lacerations, immunocompromised patients, and those on antibiotics at the time of inju...