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Perineal hernia is a hernia involving the perineum (pelvic floor). The hernia may contain fluid, fat , any part of the intestine , the rectum , or the bladder . It is known to occur in humans , dogs , and other mammals, and often appears as a sudden swelling to one side (sometimes both sides) of the anus .
The hernia descends below the proximal (upper) third of the vagina in females, [2] or, according to another definition, below the pubococcygeal line (PCL). [ 3 ] [ note 1 ] According to a consensus statement by the USA, Australia and the UK, [ note 2 ] a cul-de-sac hernia / peritoneocele is defined as "a protrusion of the peritoneum between the ...
The pelvic floor (pelvic diaphragm) can be divided into 4 compartments: Anterior or urinary (bladder, bladder neck, and urethra), Middle or genital (vagina and uterus in women, prostate in men), Posterior (anus, anal canal, sigmoid, and rectum), and Peritoneal (endopelvic fascia and perineal membrane).
Mechanistically, the causes of pelvic floor dysfunction are two-fold: widening of the pelvic floor hiatus and descent of pelvic floor below the pubococcygeal line, with specific organ prolapse, graded relative to the hiatus. [10] People with an inherited deficiency in their collagen type may be more likely to develop pelvic floor dysfunction.
Perineal hernia: a perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration.
The team compared 2019 Medicare dementia diagnoses in people 66 and older in each region with the number of expected new cases in that geographical area based on potentially modifiable risk ...
The DSM-5 (2013), the current version, also features ICD-9-CM codes, listing them alongside the codes of Chapter V of the ICD-10-CM. On 1 October 2015, the United States health care system officially switched from the ICD-9-CM to the ICD-10-CM. [1] [2] The DSM is the authoritative reference work in diagnosing mental disorders in the world.
Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [ 2 ]