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Descending perineum syndrome (also known as levator plate sagging) [1] refers to a condition where the perineum "balloons" several centimeters below the bony outlet of the pelvis during strain, although this descent may happen without straining. [2] The syndrome was first described in 1966 by Parks et al. [3]
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 perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to the scrotum (male) or the vulva (female). It is found in both males and females, arises from the fusion of the urogenital folds, and is visible running medial through anteroposterior, to the anus where it resolves in a small knot of skin of varying size.
The perineal body (or central tendon of perineum) is a pyramidal fibromuscular mass in the middle line of the perineum at the junction between the urogenital triangle and the anal triangle. In males, it is found between the bulb of the penis and the anus ; in females, it is found between the vagina and anus, and about 1.25 cm (0.49 in) in front ...
A cul-de-sac hernia (also termed a peritoneocele) is a herniation of peritoneal folds into the rectovaginal septum (in females), [2] or the rectovesical septum (in males). The herniated structure is the recto-uterine pouch (pouch of Douglas) in females, [2] or the rectovesical pouch in males.
The perineum is a highly sensitive yet often overlooked erogenous zone. "Take some time on your own to get to know your body. Lay on your back with your butt under a pillow, tilting your hips up ...
It is possible for the bulge associated with a hernia to come and go, but the defect in the tissue will persist. Symptoms may or may not be present in some inguinal hernias. In the case of reducible hernias, a bulge in the groin or in another abdominal area can often be seen and felt. When standing, such a bulge becomes more obvious.
During this examination perineal sensation and the anocutaneous reflex can be assessed with a cotton tip applicator. [38] The resting tone and squeeze pressure of the anal canal can be assessed. [38] When the patient is straining / bearing down, the bulge of a rectocele may be palpable in the posterior wall of the vagina. [38]