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...

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...

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...

Introduction Pelvic floor diseases (PFD) often affect the adult population, with approximately 50 percent of women aged years and older suffering from PFD. The condition has complex symptoms that may lead to stress a negative impact on quality life. USA spends about USD 1 billion annually inpatient costs as result more than 700,000 emergency department visits 50,000 hospitalizations associated ...

Perineal myomas in female are exceptional. We report the second case in literature of perineal myomas. It is a case of bilateral perineal myomas lifting the skin occurring in a female patient of 49 years old. She was operated by perineal incisions. Histopathology confirmed the fibromatous nature without signs of malignancy.

PURPOSE Abdominoperineal resection (APR) of advanced lower rectal cancer carries a high incidence of perineal wound infection. The aim of this study was to retrospectively evaluate risk factors for perineal wound infection after APR. METHODS The study group comprised 154 patients who underwent APR for advanced lower rectal cancer in our department from January 1990 through December 2012. The ...

OBJECTIVES To review the most common disorders depicted with conventional videodefecography, and to compare the defecographic abnormalities between symptomatic patients according to their gender and age. METHODS Conventional videodefecography studies of 300 patients (24 men, 266 women; mean age - 57.7) performed in a 32-month period were reviewed for the following parameters: anorectal angle,...

OBJECTIVES To compare the maternal and neonatal outcomes between perineal shaving and hair cutting in parturients on admission in labor MATERIAL AND METHOD Five hundred pregnant women with labor pain and no medical or obstetric complications were selected at random on admission to be assigned into two groups at Rajavithi Hospital from 1st November 2001 to 28th February 2002. Forty two women w...

INTRODUCTION The aim of this review is to provide an overview of the evidence for the use of biologic mesh in the reconstruction of the pelvic floor after extralevator abdominoperineal excision of the rectum (ELAPE). METHODS A systematic search of PubMed was conducted using the search terms: "ELAPE," "extralevator abdominoperineal excision of rectum," or "extralevator abdominoperineal resecti...