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 defect.
(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perineal body can be distinguished from its fibrous tissue and the muscle thickness can be measured (unpublished data).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
Perineal body 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.