BACKGROUND Fournier's gangrene is a bacterial infection characterized by necrotizing fasciitis, skin and soft tissue involvement, and eventually myositis of the perineal region. Aggressive debridement of devitalized tissue and overlying skin is of paramount importance, but often leaves large defects to be reconstructed. The present case reports successful extensive perineal defects coverage fol...

OBJECTIVE To study whether post-partum dyspareunia one year after a delivery is associated with characteristics of delivery: perineal trauma, obstetric interventions and women's experience. METHODS A self-administered questionnaire on post-partum sexual function was mailed in May 2002 to all consecutive women who gave birth to a live-born term infant in a maternity unit, between January 2001 ...

BACKGROUND Fournier gangrene is a necrotizing fasciitis, arising in the genital and perineal area. This entity is still associated with a high mortality rate despite improvements in antibiotic and surgical treatment. METHODS This is a retrospective study of all the patients diagnosed and surgically treated for Fournier gangrene at General University Hospital Ramon y Cajal between 1988 and 200...

background: in most of defecography films, the symphysis pubis is obscured, especially in obese patients, and the parameters will change in values if x-ray is interpreted by different reviewers or if the patient changes his/her position between the phases. this study was carried out to determine how to do the defecography to obtain fixed parameters. â  methods: eighty patients that had been can...

Vulvar leiomyomas are extremely rare smooth muscle tumors that easily mistaken for other lesions, as the differential diagnosis must consider a wide spectrum of benign and malignant lesions. We present case 52-year-old woman with three-year history progressive abdominal distension pain an enlarging vulvar mass distorting labia majora causing gait disturbance. Imaging confirmed enormous pelvic o...

background: labor pain is one of the severest pains that cause many women request cesarean section for fear of pain. thus, controlling labor pain is a major concern of maternity care. nowadays, interest in non-pharmacological pain relief methods has been increased because of their lower side effects. the effects of discrete heat and cold on decreasing labor pain have been reported but there was...

the effectiveness of physical therapy techniques in the second stage of labor on perineal trauma in nulliparous women referring to the teaching hospitalof emam khomeini – khalkhal     sohrabi m [1] , ivan bagha r [2] *, shirinkam r [3]     received: 18feb, 2012 accepted: 6may 2012     abstract   background & aims : perineal trauma is common outcome of vaginal birth, and can cause short term and...

OBJECTIVE The aim of this study was to evaluate whether a previously identified modification of Viennese method of perineal protection remains most effective for reduction of perineal tension in cases with substantially smaller or larger fetal heads. METHODS A previously designed finite element model was used to compare perineal tension of different modifications of the Viennese method of per...

BACKGROUND There is a lack of research reporting on the physical and emotional experiences of women who sustain severe perineal trauma (third and fourth degree tears). When the researcher identifies with the group being researched, autoethnography can allow an insight into the experiences of the marginalised group through the telling of a personal story. The aim of this paper is to share the jo...

Hip arthroscopy is being used with increasing frequency as the understanding of arthroscopic management of groin pain improves. To access the hip joint arthroscopically, traction must be placed on the leg. In most cases, countertraction is provided with a padded post in the groin. Complications of traction are often attributed to the post and include perineal or pudendal neuropraxias and skin c...