Vaginal delivery during childbirth is associated with perineal trauma and damage in most women. Perineal damage during delivery can have significant long-term consequences for women, including decreased quality of birthing experience, persistent postpartum perineal pain and sexual dysfunction, as well as pelvic floor pathology. Many women fear such perineal trauma. In fact, obstetrical perineal...

BACKGROUND This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration. METHODS A retrospective cohort study analyzed 2,759 patients at St. Francis Regional Medical Center who had vertex, spontaneous or induced, singleton, live, vaginal deliveries of neonates of at least 36 weeks' gestation. Patients with diabetes or severe cardiac disease were...

A pelvic fracture urethral distraction defect (PFUDD) can present in varying lengths and degrees of complexity. In recent decades the repair of PFUDD has developed into a reliance on a perineal anastomotic approach for all but the most complex cases, which might still require an abdominal transpubic approach, or rarely a staged skin-inlay procedure. There is now controversy about the extent to ...

Perineal hernia is a rare complication of anterior exenteration. We reported this complication after an anterior exenteration for bladder cancer with bleeding complication requiring packing and second-look laparotomy. Perineal approach is a simple and effective method for repair of perineal hernia.

BACKGROUND Women frequently suffer perineal trauma while giving birth. Interventions to increase the possibility for an intact perineum are needed. OBJECTIVES To evaluate the effectiveness of antenatal perineal massage in increasing the likelihood of delivering with an intact perineum. METHODS This single blinded prospective controlled trial included 234 nulliparous women with a singleton f...

Perineal tears are one of the most common complications of vaginal births and may cause discomfort and pain long time after childbirth. Visual and digital examination of perineal tears is the most common way to assess and classify a perineal tear. Recent research indicates that many tears diagnosed are misclassified. The aim of this systematic literature review was to outline research that inve...

Perineal hernia is a rare but known complication following major pelvic surgery. It may occur spontaneously or following abdominoperineal resection, sacrectomy, or pelvic exenteration. Very little is known about spontaneous perineal hernia. Surgical repair via open transabdominal and transperineal approaches has been previously described. We report laparoscopic repair of spontaneous and postope...