OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

Objective: We present our experience with transperineal bulboprostatic anastomotic procedure and compare the results with age of patients, length of urethral stricture, effect of previous treatment and need for urethral mobilisation. Materials and Methods: We retrospectively reviewed the outcome of 76 patients who underwent perineal urethroplasty procedure for traumatic stricture in our institu...

BACKGROUND Recurrent toxin-mediated perineal erythema is a cutaneous disease mediated by superantigens made by staphylococci and streptococci, which, to our knowledge, has only been reported in young adults. We describe recurrent toxin-mediated perineal erythema in 11 children and outline the differences between recurrent toxin-mediated perineal erythema and Kawasaki disease in this age range. ...

INTRODUCTION Perineal defects are commonly encountered in an oncological setting although they may also present as a result of trauma and infection (eg following Fournier's gangrene). Reconstruction of these poses functional as well as aesthetic challenges. Skin coverage and tissue volume may both be required in addition to anogenital preservation or reconstruction. General prerequisites of an ...

Perineal infections are a common presenting complaint in women attending acutely to a gynaecology department. Specifically, Bartholin's abscesses can occur in approximately 2% of women. Conservative versus surgical approaches to manage these infections aims to reduce the need for hospital admission. We summarise the literature on the diagnosis and management of Bartholin's and other types of pe...

Vulvar endometriosis can occur after surgery or trauma and cause dyspareunia. Endometriosis of the perineum and vulva is extremely rare without trauma. We report here a case of spontaneously developing perineal endometriosis successfully treated with local excision. A 23-year-old woman was admitted complaining of a vulvar lump. It had gradually increased in size. Gynecological examination showe...