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...

OBJECTIVE To determine the frequency of perineal pain after childbirth after a single dose of diclofenac rectal suppository. METHODS This cross-sectional study was conducted at Shaikh Zayed Women Hospital, Larkana, Pakistan, from April to September 2014, and comprised patients who were admitted to the labour room for normal vaginal delivery. A single dose of rectal diclofenac suppository of 1...

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...

conclusions penetrating trauma from wooden fragments provides a diagnostic challenge. a stubborn discharge from a wound must always raise the suspicion of retained fragment. early and appropriate surgical exploration is imperative. introduction in contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. in most cases, this causes no difficulty, ...

Cauda equina syndrome (CES) is a rare but serious neurosurgical emergency that can have devastating longlasting neurologic consequences. CES caused by herniated lumbar discs is rare in the literature. We report an unusual case of incomplete CES due to lumbar disc herniation. The patient presented to our emergency department with acute onset of low back pain, saddle (perineal) anaesthesia, urina...

OBJECTIVE To evaluate the effect of the fetal head station at attempted operative vaginal delivery (aOVD), and specifically midpelvic or low aOVD, on female and male sexual function and symptoms of postpartum depression (PPD) at 6 months. DESIGN Prospective population-based cohort study. SETTING 1,941 women with singleton term fetuses in vertex presentation with midpelvic or low aOVD betwee...

The purpose of the study was to report the clinical and surgical records of perineal hernia and associated rectal pathology with epidural morphine analgesia in 41 dogs. Fourty one dogs suffered from perineal hernia were included into the study with the age varied from 4.5 to 16 years. Eleven dogs had bilateral while the other 30 had unilateral (17 right, 13 left) perineal hernia. The clinical s...