The study included 34 patients who had had CPPS for ‚ 3 months, who were investigated in two subsequent studies. ESWT was administered using a perineal approach with two different standard ESWT devices with and without an ultrasonographic positioning system. The follow-up was at 1, 4 and 12 weeks after ESWT, to evaluate the effects on pain, quality of life and voiding. Imaging studies and chang...

Aims: Spinal analgesia is the most common method that provides pain relief during labor and controversy exists about its effect on the maternal and fetal among the women. This study was conducted to determine the effect of intrathecal analgesia (ITA) on perineal laceration, duration of the first, second, and third stage of labor, and Apgar score. Materials & Methods: Fifty primipara parturien...

The IIEF questionnaire scores are influenced by many factors. Depression after a diagnosis of cancer, and the prostate biopsy-related symptoms, e.g. prostatitis, perineal pain and haemospermia, might compromise the patients’ well-being and libido, and thus affect the IIEF scores before RP. We therefore suggest using the IIEFm and EFm scores before prostate biopsy to assess the patients’ sexual ...

BACKGROUND Patient support is frequently required during just one part of a procedure (eg the pelvis for the perineal portion of an abdominoperineal resection of the rectum). This is commonly achieved by placing a gel patient positioner underneath the pelvis. However, this positioner can remain in place for a long time and we had noticed that patients complained occasionally of back pain after ...

Urethral diverticulum is a rare pathology in male patients. It is most often encountered in patients with paraplegia due to iterative catheterizations. The diagnosis of a large diverticulum is easy to make when faced with clinical symptoms, such as: repeated urinary tract infections, perineal pain and especially when there is penile swelling. We report the case of a 24-year-old patient with par...

BACKGROUND Patient support is frequently required during just one part of a procedure (eg the pelvis for the perineal portion of an abdominoperineal resection of the rectum). This is commonly achieved by placing a gel patient positioner underneath the pelvis. However, this positioner can remain in place for a long time and we had noticed that patients complained occasionally of back pain after ...

Perineal pain caused by pudendal nerve entrapment is a rarely reported entity, with only a handful of cases in the modern literature. A 25-yr-old male medical student had refractory unilateral orchialgia for 32 mo and concomitant proctalgia for 14 mo. Pain was positional in nature, exacerbated by sitting and partially relieved when standing or recumbent. Pudendal nerve entrapment was diagnosed ...

A 53-year-old man, with a history of metastatic lung cancer treated with chemotherapy, presented with a high fever and in poor general condition in September 2008. He was found after slipping and falling in a toilet and was therefore admitted to hospital. He appeared to be suffering acute sepsis and a physical examination revealed tenderness over his scrotum and perianal region. An X-ray of his...

The incidence of episiotomy continues to be high in Asian countries, therefore perineal episiotomy wounds commonly occur in women during labor. The assessment of perineal wounds is an important aspect of routine care women receive during the postpartum period. The purpose of this study was to compare the effectiveness of self perineal care (Group 2) and aseptic perineal care (Group 1) in healin...

BACKGROUND Pain from episiotomy or tearing of perineal tissues during childbirth is often poorly treated and may be severe. This randomized double-blind controlled trial was performed to compare the effectiveness, side effects and cost of, and patient preference for, 2 analgesics for the management of postpartum perineal pain. METHODS A total of 237 women who gave birth vaginally with episiot...