OBJECTIVE The aim of this study was to evaluate whether a previously identified modification of Viennese method of perineal protection remains most effective for reduction of perineal tension in cases with substantially smaller or larger fetal heads. METHODS A previously designed finite element model was used to compare perineal tension of different modifications of the Viennese method of per...

BACKGROUND AND OBJECTIVES Vaginal birth delivery may result in acute and persistent perineal pain postpartum. This study evaluated the association between catastrophizing, a phenomenon of poor psychological adjustment to pain leading the individual to magnify the painful experience making it more intense, and the incidence and severity of perineal pain and its relationship to perineal trauma. ...

A full-term male neonate with anorectal anomaly and external perineal anomalies was referred to our service. Physical examination showed an epithelized perineal mass with cutaneous orifices, which had urine fistulization, hipotrofic perineal musculature, bilateral congenital clubfoot, hipospadic urethra, criptorquidy bilateral with nonpalpable testis and imperforate anus. A colostomy was constr...

Hypospadias is an uncommon congenital defect of urinary tract in farm animals. This defect has been recorded rarely in calves, lambs and foals in the world. The aetiology of hypospadias is not well understood, it seems to be multifactorial and may be related to genetic, endocrinological, and environmental factors. During April to October 2007, twenty-four goat kids with sings of hypospadias wer...

BACKGROUND Perineal hernias may occur after the completion of surgery in this region, or may occur as a primary lesion. Among the less frequent are the perineal hernias. CLINICAL CASE Female patient, 42 years old, with perineal tumor mass on the right of the anus, spontaneously occurring, five years of evolution, with dimensions of 6 × 10 cm, soft and reducible behind transverse perineal musc...

This is the author’s experience of hypospadias reconstruction using Bracka's technique (mainly) over a period of three years. A total of 98 procedures related to hypospadias were done in three years. The surgical technique is described. In the author's hand, Bracka's technique gives good result both functionally and in appearance. Its versatility enables its use in all types of hypospadias with...

Human 3 beta-hydroxysteroid dehydrogenase deficiency (3b-HSD) is a very rare form of congenital adrenal hyperplasia resulting from HSD3B2 gene mutations. The estimated prevalence is less than 1/1,000,000 at birth. It leads to steroidogenesis impairment in both adrenals and gonads. Few data are available concerning adult testicular function in such patients. We had the opportunity to study gonad...

BACKGROUND Primary perineal wound closure after conventional abdominoperineal resection (cAPR) for rectal cancer has been the standard of care for many years. Since the introduction of neo-adjuvant radiotherapy and the extralevator APR (eAPR), oncological outcome has been improved, but at the cost of increased rates of perineal wound healing problems and perineal hernia. This has progressively ...

INTRODUCTION Perineal hernia may be a long-term complication to conventional abdominoperineal resection or proctocolectomy. We analysed the incidence of post-operative perineal hernia repair and described patient-reported outcome measures (PROMS) after perineal hernia repair. METHODS This was a nationwide retrospective analysis of consecutive Danish patients undergoing conventional abdominope...

Objective: Corpus spongiosum advancement technique has been used for repair of glanular, coronal and distal penile hypospadias without chordee. A brief description of the procedure and operative outcome has been described with discussion of relevant literature. Methods: Out of 112 patients aged 12 to 126 months, operated between July 2009 and December 2013, 54 had coronal, 38 had glanular and 2...