Although the small sample size and absence of long-term results were limitations of this study, the satisfactory preliminary results encourage us to consider that combined repair of anal sphincters, perineal body
, superficial transverse perinei muscles, and bulbospongiosus muscles may improve surgical outcomes in patients with OASIS.
The operation ended with closure of the surgical wound by suturing the perineal skin, with resultant creation of the perineal body
. The external sphincter muscle complex is identified by electrical stimulation.
For more detailed evaluation, the patients were subdivided into three groups according to the perineal body
thickness: PBT <10 mm, 10-12 mm and >12 mm.
In preparation for reconstruction of the perineal body
, as described by Slusher (1986), the mare is placed n a stock and tranquilized, and the perineum is desensitized by a caudal epidural analgesia:
Posterior vaginal repairs may address an enterocele, rectocele, and/or perineal body
(2) The muscular content of the perineal body
can be distinguished from its fibrous tissue and the muscle thickness can be measured (unpublished data).
The distal ends of the mesh are then attached to the pubocervical fascia lateral to the bladder neck or the perineal body
depending on whether the procedure involves anterior or posterior mesh placement, respectively
length and lacerations at delivery [Electronic version].
Los ANGELES -- Third-and fourth-degree lacerations during delivery are more likely to happen in Asian American women and women with a shortened perineal body
, two separate studies concluded.
Subtle malformations such as those in some children with perineal fistula that may look normal to the casual glance may be present for months or years after birth when the child presents to a primary care provider for constipation or urinary tract infection and appears to have a small perineal body
upon physical examination.
Surgical approaches to postobstetrical perineal body
defects (rectovaginal fistula and chronic third and fourth-degree lacerations).
Other conditions treated by colorectal surgeons include perineal body
defect, obstructed defecation, faecal incontinence, and in some cases enterocele.