BACKGROUND Damage to the perineum is common after vaginal delivery, and it can be caused by laceration, episiotomy, or both. This study investigated the effects of maternal position (lateral vs lithotomy) and other variables on the occurrence of perineal damage. METHODS A retrospective study included the examination of hospital records from 557 women. The effects of demographic characteristic...

PURPOSE Perineal transposition of the antropyloric valve following an anorectal excision as a substitute for a permanent colostomy has recently been reported in humans. However, the problem of neural control still remains in these patients. Our aim herein was to study the anatomical feasibility of an anastomosis between the pudendal nerve branches (inferior rectal nerve) innervating the externa...

OBJECTIVE To review the experience (2011 and 2012) of Wound Center of Plastic Surgery Service, Clinics Hospital, Faculty of Medicine, University of São Paulo, with treatment of complex traumatic wounds in the perineal region with the association of negative pressure wound therapy followed by a surgical skin coverage procedure. METHODS This was retrospective analysis of ten patients with compl...

Hong Kong Med J ⎥ Volume 20 Number 3 ⎥ June 2014 ⎥ www.hkmj.org In July 2012, an extensive eczematous lesion was found incidentally over the external genitalia in a 77-year-old man who was being evaluated for lower limb cellulitis. The affected area had been present for 10 years; it was erythematous, macerated, and itchy. He had consulted countless doctors, but the itchiness was intense and the...

To the Editor, Malignant melanoma (MM) is a highly aggressive disease that originates from typical sites where the melanocytes can be usually found (skin, eyes, meninges, and anal region) (1,2). MM can attack any part of the gastrointestinal (GI) tract, and this event is mainly caused by metastatic spread from primary cutaneous lesions. However, there is a portion of GI melanomas without any do...

I n current obstetric practice episiotomy is generally taken to refer to an incision of the perineum and vagina to facilitate vaginal delivery. While the most precise definition of this incision is perineotomy, episiotomy is the generally employed terminology and thus is used in this article. The evolutionary background and historical perspective of this procedure have been reviewed extensively...

Background Perineum sunning/tanning is a potentially harmful yet popular new health trend cultivated by viral social media post, famous public figures, and subsequent coverage. Objective Our primary objective to evaluate interest in perineum sunning/tanning. Methods Using an observational study design, we extracted data from Google Trends for the terms “perineum sunning,” tanning,” “Metaphysica...

Epidermal cysts are very common lesions. Here we present the unusual case of an epidermal cyst occurring between the anal sphincters, presenting as a lump in the perineum. This was successfully excised with careful dissection of the intersphincteric plane. To our knowledge this is the only case of its kind reported in the literature.

The case of a woman with secondary syphilis is described. The outstanding features were the presence of condylomata lata of the axilla and vulva as well as of the anal region.