OBJECTIVE The objective of this study was to identify the healing process and outcome of nonhymenal injuries in prepubertal and pubertal girls. METHODS This multicenter, retrospective project used photographs to document the healing process and outcome of nonhymenal genital injuries in 239 prepubertal and pubertal girls whose ages ranged from 4 months to 18 years. RESULTS The genital injuri...

Up to 6% of women sustain severe perineal lacerations that involve the anal sphincters during vaginal delivery. When they occur obstetric anal sphincter injuries (OASI) may be accompanied by significant morbidity. Therefore, it is important to detect these injuries promptly and for experienced staff to perform sound repair. This report retrospectively assesses a series of seven women with OASI ...

BACKGROUND Many women suffer from perineal trauma during the normal vaginal delivery. Perineal trauma is mainly associated with pain and complications after the childbirth. Perineal management techniques can play a significant role in perineal trauma reduction. This study aimed to compare the effects of perineal management techniques (hands-off technique, Ritgen maneuver and perineal massage us...

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/PURPOSE Serious injuries to the urinary tract may occur during the repair of an anorectal malformation, especially in boys. This review of a large series of patients characterizes factors that may either lead to, or prevent, those injuries. METHODS A retrospective review of 1,003 boys with anorectal malformations was performed. RESULTS A total of 129 injuries in 1,003 patients we...

Purpose: Perineal endometriosis is a rare disease characterized by the presence of ectopic endometrial stroma and glands in the perineum. Most commonly observed in the episiotomy scar after normal vaginal deliveries, perineal endometriosis is not often considered in the differential diagnosis of perineal masses. This could lead to unnecessary investigations and inadequate patient treatments. ca...

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...

BACKGROUND Circumcisions and cesarian sections are common procedures. Although complications to the newborn child fortunately are rare, it is important to emphasize the potential significance of this problem and its frequent iatrogenic etiology. The authors present 7 cases of genitourinary trauma in newborns, including surgical management and follow-up. METHODS The authors relate 7 recent cas...

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...