Thirty-eight-year-old lady, mother of two children, came to OPD with history of cyclic pain in the perineal region which was gradually increasing in intensity and duration for 1 year. Pain was intense in last 4 months. Pain was related to her menstrual cycles. She also gave history of itching over perineal region. She delivered her first child 10 years back with right mediolateral episiotomy fo...

Our anatomic findings have led us to define conflictual relations that may be encountered in their course by the pudendal n. and its branches. Starting from the clinical study of a group of patients suffering from chronic perineal pain in the seated position, we have defined, beginning with the cadaver, three possible conflictual settings: in the constriction between the sacrotuberal and sacros...

OBJECTIVE Spinal manipulation with high-velocity and low-amplitude (HVLA) manipulation is frequently used for the treatment of lumbopelvic pain; however, the effect on the pelvic floor has been poorly studied in the past. The objective of this study was to quantify the intravaginal pressure (IVP) and the basal perineal tonus (BPT), measured in terms of pressure, before and after the HVLA manipu...

BACKGROUND Pain is a worldwide problem that often originates from disease process, and diagnostic and treatment procedures such as surgical operations. OBJECTIVES This trial was performed to compare the effectiveness of two analgesics for the management of perineal pain caused by episiotomy. MATERIALS AND METHODS A total of 170 nulliparous women who gave birth vaginally with episiotomy betw...

BACKGROUND To compare the postpartum pelvic floor function of women with sutured second-degree perineal lacerations, unsutured second-degree perineal lacerations, and intact perineums. METHODS A prospective cohort of nurse-midwifery patients consented to mapping of genital trauma at birth and an assessment of postpartum pelvic floor outcomes. Women completed validated questionnaires for perin...

Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe distress with non-pitting edema of his feet and ankles along with perineal edema. The pedal edema ...

Total pelvic exenteration for locally recurrent rectal cancer typically requires extensive excision of the pelvic floor with perineal skin. Due to the extensiveness of the procedure and its non-curative nature, it is controversial as purely palliative therapy. A 66-year-old male patient who had undergone abdominoperineal resection at another hospital 8 years prior was admitted to our hospital. ...