OBJECTIVE To determine the utility of vaginal cones in the rehabilitation of the perineal muscles. METHODS A study was conducted on 134 women (mean age 31.8 years). The control group comprised 51 women (38%) and study the group comprised 85 patients (62%) undergoing rehabilitation of the perineal muscles with vaginal cones for a period of three months. Both groups were adjusted for statistica...

NURSING STANDARD PERINEAL WOUNDS commonly occur in women during labour (Albers et al 2005). A cross-sectional survey of 101 randomly selected NHS trusts in the UK in the mid-1990s revealed that 83% of low risk primigravidae experienced some form of perineal trauma (Williams et al 1998). Many women also experience labial tears, grazes or vulval varicosities which are painful (Steen 2007). Perine...

Genital injuries occur mainly due to harvesting machines in agriculture field, industrial machines such as pulleys, chains and rotary discs. When they catch the operators clothes and pull out the skin of the genitalia. Such lesions, although not life-threatening they are incapacitating and have a devastating psychological impact as well as challenging for first responders and surgeon because of...

AIM Structural anal sphincter damage may be secondary to obstetric anal sphincter injury, perineal trauma or anorectal surgery. We reviewed the spectrum of anal sphincter injuries and their outcomes in a tertiary care colorectal unit. METHODS Data of patients who underwent anal sphincter repair between 2004 and 2008 were analyzed retrospectively. Outcomes were compared with respect to etiolog...

1. Loev MA, Varklet VL, Wilsey BL, Ferrante FM. Cryoablation: A novel approach to neurolysis of the ganglion impar. Anesthesiology 1998;88:1391-1393. 2. Plancarte R, Velazquez R, Patt RB. Neurolytic blocks of sympathetic axis. In: Patt R, ed. Cancer Pain. Philadelphia: JB Lippincott Publishers; 1993:417-420. 3. Wemm KJ, Saberski L. Modified approach to block the ganglion impar (ganglion of Walt...

Aim: This study aimed to assess the effects of prenatal Perineal Massage and Kegel exercise on the episiotomy rate. Subjects and Methods: Randomize controlled trial was carried out at Antenatal Outpatient Clinic and Labour and Delivery Ward at El Mansoura University Hospital, Egypt. This study comprised a random study sample of180 pregnant mothers out of randomized 225was recruited for this stu...

PURPOSE Pediatric urethral stricture disease represents a significant surgical challenge because of smaller pelvic confines, decreased caliber and increased tissue fragility. Operative series of pediatric urethral reconstruction usually involve small numbers. In this study, we examined the outcome of open reconstructive techniques for pediatric and adolescent patients with posterior urethral di...

The cases were all deliveries in the Eoyal Maternity Hospital during one of my short incumbencies as ordinary physician. The women alleged primiparity, and in all there was, in the condition of the hymen, corroborative evidence of the truth of their assertion. The condition of the hymen is not stated in the reports of the cases ; but I am responsible for all .the statements of injuries, the exa...

A 4-day-old Holstein bull calf with considerable oedema of the belly (water belly) was referred to theVeterinary Teaching Hospital of the School of Veterinary Medicine, Shiraz University. The owner did notobserve any urination since birth. Rupture of the urethra was suspected. Perineal urethrotomy was performed. Subsequently, catheterization of urethra revealed the obstruction near the external...