BACKGROUND Approximately 70% of women will experience perineal trauma following vaginal delivery and will require stitches. This may result in pain, suture removal and superficial dyspareunia. OBJECTIVES To assess the effects of different suture materials on short- and long-term morbidity following perineal repair. SEARCH STRATEGY We searched the Cochrane Pregnancy and Childbirth Group's Tr...

conclusions the results showed the effectiveness of bromelain on episiotomy pain and wound healing. therefore, it is suggested to use bromelain in postoperative stage to improve wound healing and reduce pain. background ananas comosus has long been used for medical purposes. currently, we are experiencing an unprecedented interest in the use of complementary medicine as well as a growing attent...

Introduction: many surgical techniques –both through the perineal and abdominal routes– have been described for the treatment of rectal prolapse. The aim of this work is to evaluate the clinical and functional outcome with Delorme’s perineal procedure. Patients and methods: twenty-one patients with complete rectal prolapse were studied from July 2000 to October 2005. Age, gender, anesthetic ris...

Background & aim: Pain is the most common complaint of mothers after episiotomy. Various medications are used for the alleviation of this pain. The aim of this study was to evaluate the effect of alpha ointment on the relief of pain caused by episiotomy. Methods: This double-blind clinical trial was conducted on 70 primiparous women in Ommolbanin Hospital in Mashhad, Iran. The participants were...

Introduction: Genital tract integrity is not always mantained during childbirth. No treatment protocol for post-partum perineal wounds (tears and episiotomies) existed in our Department, thus their management depends upon clinician. This study aimed to establish the role of antibiotic in the treatment of post-partum perineal wounds as well as the impact of antibioprophylaxis on wound healing an...

OBJECTIVE To show the value of computed tomography (CT) in selectively blocking the pudendal nerve in patients with long-term anogenital pain of uncertain etiology. We report a technique to selectively block the pudendal nerve using CT guidance in 2 patients with long-term anogenital pain. CASE REPORT In 1 patient, a competitive cyclist, the diagnosis of pudendal neuralgia was substantiated b...

Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urin...

BACKGROUND Perineal tears commonly occur during childbirth. They are sutured most of the time. Surgical repair can be associated with adverse outcomes, such as pain, discomfort and interference with normal activities during puerperium and possibly breastfeeding. Surgical repair also has an impact on clinical workload and human and financial resources. OBJECTIVES To assess the evidence for sur...

A 57 –year-old male presented to the emergency department reporting three days of wor‐ sening perineal and scrotal pain and swelling. He denied diabetes or trauma. His genitouri‐ nary examination revealed a draining lesion in his left inguinal region with surrounding indurations and cellulites extending onto his scrotum. His perineum was edematous and tender with a distinct region of ecchymosis...

This is the first reported case of an enterocutaneous fistula as a late complication to reconstruction of the pelvic floor with a Permacol™ mesh after a perineal hernia. A 70-year-old man had a reconstruction of the pelvic floor with a biological mesh because of a perineal hernia after laparoscopic abdominoperineal resection. Nine months after the perineal hernia operation, the patient had mult...