Even though they are quite uncommon, puerperal genital haematomas can be associated with serious maternal morbidity. Key findings are significant perineal pain and, depending on the location, visible swelling. However, attention can be drawn to its progression by the rare occurrence of persistent painful "bearing down" efforts, even after the successful delivery of the baby. The final size of t...

Objectives. This study was done to evaluate three bedside tests in discriminating visceral pain from somatic pain among women with chronic pelvic pain. Study Design. The study was an exploratory cross-sectional evaluation of 81 women with chronic pelvic pain of 6 or more months' duration. Tests included abdominal cutaneous allodynia (aCA), perineal cutaneous allodynia (pCA), abdominal and perin...

A 60 years old man presented with a history of suprapubic pain, painful micturition, perineal pain, and acute retention of urine followed by catheterization. On abdominal ultrasound, there was a metallic needle found in the urinary bladder which was confirmed on pelvis X-ray. The needle was found to be a metallic piece of a resectoscope cutting loop which was removed through cystourethroscopy.

The case of a 32-year-old man with perineal pain and local swelling is presented. Partial segmental thrombosis of the corpus cavernosum was diagnosed and treated conservatively with systemic anticoagulants. Conservative management proved to be a safe and successful therapeutic option in partial thrombosis of the corpus cavernosum.

Solitary rectal ulcer syndrome (SRUS) is a relatively uncommon but troublesome chronic benign disorder more in young adults and less children. It usually presented as bleeding, constipation, copious mucous discharge, prolonged excessive straining, tenesmus, lower abdominal pain, localized pain the perineal area, feeling of incomplete defecation rarely prolapse.The underlying etiology not well k...

Nutcracker phenomenon is the descriptor for a patient’s anatomy whenever the left renal vein becomes compressed between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome is the terminology used when the nutcracker phenomenon is accompanied by symptoms including pain (abdominal, flank, pelvic), hematuria, and orthostatic proteinuria. Diagnosis can be made with Doppler u...

OBJECTIVE To investigate the feasibility and clinical outcome of extracorporeal shock-wave therapy (ESWT) for patients suffering from chronic pelvic pain syndrome (CPPS). PATIENTS AND METHODS The study included 34 patients who had had CPPS for >or=3 months, who were investigated in two subsequent studies. ESWT was administered using a perineal approach with two different standard ESWT devices...

OBJECTIVE To determine the effects of perineal massage in the second stage of labour on perineal outcomes. DESIGN Randomised controlled trial. PARTICIPANTS At 36 weeks' gestation, women expecting normal birth of a singleton were asked to join the study. Women became eligible to be randomised in labour if they progressed to full dilatation of the cervix or 8 cm or more if nulliparous or 5 cm...

As a woman, labor experience could be best memory, but it was also became trauma for them especially perineum laceration. Perineum laceration occurred during process naturally or instrumentally (episiotomy, extraction). caused discomfort and pain heacting process. The fearness affected mother psychology. To minimize the laceration, perineal massage prevent grade II incidence. determined applica...

BACKGROUND Pain in the rectal, genital, and perineal area is a common condition treated by pain physicians. These chronic pain syndromes are therapeutically challenging because both interventional and drug therapies often are ineffective. OBJECTIVES To determine if pelvic pain can be treated effectively with compounded topical amitriptyline-ketamine. STUDY DESIGN A retrospective review of m...