Doctor insights on:
Perineal Cleansing Foam Medication
1 st degree...: If you are talking about " perineal tear" common to childbirth.... Degree is determined by the detention of year to depth and tissues involved (mucosa, muscles.) Typically 1 st degree is superficial and heals easy. Most commonly few sutures may be used for better cosmetical result. Prevention is sometimes " Episiotomy "- surgical cut preventing irregular, deep tear - easier to repair.. ...Read more
Is it normal for my perineal area to have a tightening pain from coughing extremely hard? Only happens rarely
"Normal" is relative: If you're coughing hard enough, you may be squeezing rib, chest wall, abdominal & pelvic muscles. In your case, this is causing discomfort in the muscles of the lower part of your pelvis. While this sensation is "normal" under this circumstance, it's not "normal" to be coughing so hard. Please see a doctor about your cough. Dr. Anne ...Read more
Looking for recommendations of stretches or other things so extended sitting is more toloerable, like an hour plus? PERINEAL NERVES GET COMPRESSED
See GYN or dermatolo: May be intertrigo, lichen sclerosis, or other. Diagnosis requires exam and treatment depends on diagnosis. Meanwhile, use a lubricating lotion after a bowel movement or whenever it feels wet to clean outside + inside. Can rub in miconazole cream and hydrocortisone cream. ...Read more
Sit to void: Diverting the male urethra to empty via the perineum, typically done after penectomy for cancer or for severe stricture disease of the urethra, is known as a perineal urethrostomy. The male sits to urinate, otherwise everything is the same. The sphincter muscles of control are unchanged. ...Read more
Not sure why you: Would have dietary restrictions after a perineal urethrostomy as the surgery is there to just direct the flow of urine to a different location. Immediately after the surgery you may want to consider a bland diet as your body is recovering from anesthesia, but that is very quickly over. If you are really concerned why not ask the urologist completing the procedure. ...Read more
Multiple causes: The perineum, in women, is the area between the vagina and the anus. Common causes of pain include complications of childbirth, other trauma, abscess, entrapment of the pudendal nerve, nerve-associated cysts, pelvic inflammatory disease, ovarian cyst or torsion, even menstrual cramps. Inflammatory bowel disease/colitis can also cause. Requires careful evaluation usually by GYN specialist. Good luck ...Read more
Not normal: Persistent perineal pain should be investigated by a specialist to rule out any gynecologic problems. If the condition is thought to be musculoskeletal in nature then a specialist in physical medicine and rehabilitation would be appropriate. ...Read more
I have a perineal tear-- I believe from cheap toilet - very uncomfortable how can I treat at home?
Best see doctor: Hard to imnagine how a toilet, cheap or not, could cause a perineal tear. Do you recall a particular injury? If not and you're just assuming an injury is the cause, you should be professionally examined. Most presumed genital ulcers due to trauma in fact have other causes, especially herpes. Don't take chances if you're not sure. Also, exam is best way to know best pain relief. Good luck! ...Read more
I accidentally cut my perineal raphe. It doesn't hurt much and it bled a bit, but now I have skin maybe 1/4" long hanging. Is the perineal raphe important? What should I do? It will heal normally?
Heal spontaneously: It's hard to evaluate a tear in the perineal region without seeing it. However most tears heal spontaneously on their own without any complications. ...Read more
For repairing a perineal laceration, what would make chromic sutures preferable to polyglycolic (dexon) ones? Just curious!
Surgeon: Preference or what is availableGet a more detailed answer ›
I have a torn perineal brevis in my ankle and have constant pain. Is surgery the best option for that?
Perineal sinus: Do you have Crohns ' disease? Ulcertive colitis? Hidradenitis? Sometimes a high protein diet antibiotics, local care, compresses treatment of underlying Crohns if due to flare, may help. But if chronic with sinus tract and fibrosis surgery nay be needed consider using a dough to ameliorate pressure on the area, avoid tight fitting clothes. F/u with doc ...Read more
Live your life: I would suggest you live your life as normal as possible. Wearing some sort of perineal support may be helpful. These are very difficult hernias to deal with, and you would need a hernia specialist if you wanted this repaired. You can find surgeons interested in hernia disease at the Americas Hernia Society website. Hope this helps! ...Read more
I have mucas coming out of my rectum/perineum. I am healing from a perineal tear. Does this indicate healing is happening?
Glands: Mucous is typically secreted by the mucous glands in the area. If there is a tear then the glands can produce more mucous which could potentially help protect the area from further damage and therefore potentially speed up healing. ...Read more
I've had a small, painless, headless, firm lump in my perineal area for almost 2 weeks. I don't shave/wax. What could it be?
"Show and tell": This is one of those things that a md needs to be "shown" and you need to "tell" him/her about it to be accurate about what it is or is not. ...Read more
Small cut on my perineal raphe and have about 1/4 inch or smaller of hangin skin I have clean with peroxide n neosporin what is healing time?
See DR: Probably easy to fix. Throw away the peroxide and neosporin as these are of no value and often cause reactions. ...Read more
I have small cut on perineal line while shaving with trimmer. It bleeded a bit but it is ok now only a slight pain while sitting. Any treatment reqd?
Hidradenitis: I would speak to your doctor about your general health. Are you diabetic? Are you overweight? People with hidradenitis supurativa get "pimples" in their groin and buttock and it is not related to weight or diabetes. I find topical antibiotics and/or fruit acid treatments help. I would see your family doctor or a dermatologist. ...Read more
How does a woman correctly perform perineal massage to make delivery easier & prevent tearing during childbirth?
They don't give us nearly enough space to discuss that here, but great question! I advise all pregnant women to practice this starting around 34 weeks and wish all doctors did so! See http://www. Ivillage. Com/perineal-massage-your-how-guide/6-n-145602 and http://pregnancy.About. Com/cs/episiotomy/a/perimassage. Htm
ps check out the book ina may's guide to childbirth! ...Read more
My son is 17 sometimes after urinating he complains of a sharp squeezing pain in the perineal area. Is this normal?
Would any doctors be willing to look at pictures of my perineal area. In order to help diagnose me? Its only of the area. It looks infected?
Go see your doctor: Best to go see your family doc for an inperson exam in order to arrive at correct diagnosis, especially if you're worried about infection. ...Read more
My perineal raphe occasionally becomes very swollen and sore to the touch, is this the sign of a problem? I cannot find or determine a cause
Fast-paced, long distance horseback riding would not pose problems to a well-healed 4th degree perineal repair would it? About 4 months postpartum
Urologist evaluation: Varicoceole may be a cause for pain. Do you try to keep the scrotum elevated? You should ask for a referral to a Urologist to evaluate you for surgery. If this is a minor dicomfort and you are able to live with it, then you are unlikely to find a surgeon to assist with it. However, if this is severe pain, that limits your lifesytle and activities, then a surgeon would be happy to see you. ...Read more
I had a perineal abscess drained on Monday. Today is Saturday and I’m still seeing a lot puss. Is this normal?
Is it normal for perineal area in males to be very prominent? It seems there is a bag hanging posterior to the scrotum.
What is the best way to treat a minor perineal tear that occurred from sex? Currently treating a yeast infection as well.
I had a perineal tendon repair in my ankle last sept. Suddenly im having painful spasm in that area, Should I be concerned?
Concern is okay: Follow up with surgeon for the peroneal tendon. ...Read more
I was shaving my pubic hair and I happened to get a cut on my perineal raphe. It isn't bleeding a lot but it is like, split open a bit. What do I do?
I noticed the skin directly next to my perineal raphe (penis) has turned dark brown. No pain or itch. Skin is not rough or flaky. No sex in 4+ months.
It may be ok: This may be best discussed with a urologist. The dermatologist but also clarify. Pigmentation can occur for variety reasons, and just because occurs does not mean it's a bad thing ...Read more
What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol
Both: Both these procedures are done for rectal prolapse. The perineal rectosigmoidectomy is done from below by making an incision and removing the rectum and the last part of the colon to prevent the rectum from prolapsing (also known as the altemeier procedure) the second procedure you mention is the low anterior resection with rectopexy is done through the abdomen and the surgeon removes a part of the colon and pulls the rectum up and sutures it to the inlet of the sacrum to prevent it from prolapsing back out. For an 86 year old unless she is in great medical condition the first procedure perineal rectosigmoidectomy would be a safer procedure as it is less invasive and offers a good outcome. ...Read more
It's been over a year now with perineal tears after sexual intercourse. Please help. It's very uncomfortable.
Internet Medicine: I am sure you can understand but there really are limits to internet medicine. Tears in the perineum are in no way usual, normal or common. To have symptoms for over a year makes this even more unusual. I honestly think there is no way to help you with out a direct examination and perhaps even testing as to why your skin is not healing. Please get to the family clinic soon for an examination. ...Read more