Objective: To compare the morbidity following episiotomy repair by rapidly absorbed polyglactin and chromic catgut. Materials & Methods: This prospective longitudinal study was conducted in the Department of Obstetrics and Gynaecology, Medical College, Kolkata. 100 primigravida with episiotomy were divided into 2 groups Group I:CC (n=50) repaired with no 1,0 chromic catgut and Group II:VR (n=50...

The aim was to compare healing and perineal pain with the use of continuous and interrupted suture techniques in women after normal delivery. A randomized controlled trial was carried out at a hospital birth center in Itapecirica da Serra, Sao Paulo, Brazil. A total of 61 women participated with episiotomy or second degree perineal tear, allocated in two groups according to the continuous (n=31...

Perineal injury sustained during childbirth is a major aetiological factor in the development of perineal pain, sexual dysfunction, prolapse and disturbance in bowel and bladder function. Preferential use of the vacuum extractor, restricting the use of episiotomy, repair of anal sphincter rupture by a trained doctor and selective caesarean section in these women can be beneficial in preventing ...

the effect of calendula ointment in pain intensity of episiotomy among primiparous women     jahdie f [1] , eghdampour f [2] * , kheyrkhah m [3] , haggani h [4]    received : 25 april , 2011 accepted: 26 jun , 2011    abstract  background & aims: perineal pain affects mother’s quality of life. this study aimed to investigate the effects of calendula ointment on pain relief of episiotomy wounds ...

BACKGROUND Millions of women worldwide undergo postpartum perineal repair under local infiltration. Inadequate postpartum pain management can negatively impact a mother's physical and psychological recovery. AIMS To study and compare the analgesic effect and maternal satisfaction with lignocaine versus ropivacaine infiltration for postpartum perineal pain relief. MATERIALS AND METHODS After...

OBJECTIVES To evaluate the effectiveness and acceptability of a lidocaine spray in reducing perineal pain during spontaneous vaginal delivery. DESIGN Randomised controlled trial. SETTING Consultant led obstetric unit. PARTICIPANTS 185 women who had a spontaneous vaginal delivery without epidural analgesia. INTERVENTIONS Topically applied local anaesthetic spray (93 women) and placebo sp...

Isolated internal iliac aneurysms are rare. We report a case of an uncommon presentation of perineal pain and tenesmus in a man caused by the pressure effects of the aneurysm. He had a successful endovascular exclusion and thrombosis of his aneurysm. On follow up of more than 3 years he remains free of all symptoms and no recurrence of the aneurysm.

BACKGROUND The ganglion impar is the first pelvic ganglion of the efferent sympathetic trunk that relays pelvic and perineal nociceptive messages and therefore constitutes a therapeutic target. OBJECTIVE The objective of this single-center study was to evaluate the effectiveness of 3 repeated ganglion impar blocks in patients with chronic pelvic and perineal pain on intention-to-treat. STUD...

OBJECTIVE Pelvic congestion syndrome (PCS) is difficult to diagnose, poorly understood, and often confused with other causes of chronic pelvic pain. Thus, gonadal vein reflux, its relation to lower extremity venous insufficiency (LEVI), and treatment remains controversial to physicians and payors. We present our experience with endovascular PCS treatment and hypothesize that properly selected p...

OBJECTIVE To evaluate short-term perineal pain among primiparous women after mediolateral episiotomy (MLE) and lateral episiotomy (LE). METHODS The prospective randomized study was conducted in the Czech Republic during 2010-2012. Consecutive primiparous women who gave birth at or after 37 weeks of pregnancy and had indications for an episiotomy were enrolled and randomly assigned to undergo ...