Doctor insights on:
What Is Perineal Anoplasty
Two weeks ago i got a anoplasty surgery and i'm feeling better but what things can I and can't i do?
Go to the source: You should call your surgeon's office in the morning and ask for clarification of your expectations. It's really not appropriate for me to offer my opinion in your acute post op period. Your own surgeon is your primary resource. So, make the call. Good luck. ...Read more
Vagina is situated very close to anus as result of anoplasty. No bk anal muscles.Working fine.Safe or unsafe to have a natural birth?
Time for consult: My first thought would be to protect your anoplasty with a c-section delivery. The chances of a tear through the reconstructed area is real and repair difficult. However, the best people to discuss this with are the ones that repaired you in the past. ...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
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
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
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
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 moreSee 1 more doctor answer
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