Find out if clinical studies are right for you. Griffin P. Rodgers explaining the importance of participating in clinical trials. You can view a filtered list of clinical studies on perineal injuries that are open and recruiting males at www. You can expand or narrow the list to include clinical studies from industry, universities, and individuals; however, the National Institutes of Health does not review these studies and cannot ensure they are safe.
Always talk with your health care professional before you participate in a clinical study. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. How common are perineal injuries in males?
Who is more likely to have a perineal injury? What are the complications of perineal injury? What are the signs and symptoms of perineal injury in males? What causes perineal injury in males? How do health care professionals diagnose perineal injury in males? Can I prevent a perineal injury? What is the perineum and why is it important? In males, the perineum is the area between the anus and the scrotum.
Types of perineal injuries Injuries to the perineum can happen suddenly, known as an acute injury, or gradually, known as a chronic injury. Acute injuries include straddle injuries, which can happen if you fall with your legs on each side of an object or bar and hit your perineum when you land impalement injuries that occur when an object punctures the perineum burns Acute injuries can also happen from violent trauma, during surgery, sexual abuse, or from some medical conditions.
Perineal injury is more likely for men who are in military combat have surgery in their genital region ride bicycles, motorcycles, or horses work in construction or on a farm engage in gymnastics have been sexually abused What are the complications of perineal injury?
Bladder control problems Perineal trauma can injure nerves of the pelvis, causing bladder and bowel problems. Sexual problems The perineal nerves carry signals between the genitals and the brain. Signs of a perineal injury include bleeding or an open wound object embedded in the perineum burned skin bruising swelling fresh blood in urethral opening inability to urinate Along with these signs, you may have symptoms such as pain in the genital, groin, or abdominal areas.
Acute perineal injuries Causes of acute perineal injury in males include Perineal surgery. A surgeon may need to cut the perineum during some types of surgery, such as surgery to remove the prostate surgery to repair a stricture , or narrowing, of the portion of the urethra that runs through the perineum colorectal or anal cancer surgery to remove a tumor Straddle injuries.
Physical exam During a physical exam, your health care professional looks for wounds, swelling, or bruises and may use a digital rectal exam to feel for internal injuries. Imaging tests Your health care professional may order one or more imaging tests to check for internal injuries. Computed tomography CT scans can show traumatic injury to the perineum. Magnetic resonance imaging MRI can show damage to blood vessels and muscles. Ultrasound can show damage to blood vessels in the perineum.
X-rays that include the addition of a special dye can show if your urethra is damaged. Treatment begins with identifying and addressing the underlying cause. As mentioned above, constipation and the need to chronically strain is often identified and treated. Pelvic floor physical therapy to strengthen the floor of the pelvis can sometimes be utilized to help symptoms.
If surgery is performed, the focus is on elevation of the perineum and pelvic floor with either a da Vinci Sacrocolpoperineopexy or a posterior vaginal mesh placement with perineorrhaphy and elevation of the perineum. The choice of surgery depends on the presence of other conditions such as cystocele , rectocele , or uterine prolapse and on the severity of symptoms. Some perineum lumps are harmless, but others, like hemorrhoids, may cause discomfort or pain and require treatment.
Some causes of perineum lumps are common to all sexes. But others are more common in people with vulvas than in people with penises. Impacts to the groin area during physical activity or from falling on your rear can bruise, tear, or rip your perineum, causing a lump there. A lump can also result from chronic injuries to the nerves, blood vessels, and skin from pressure caused by sitting for long periods of time.
Pelvic floor dysfunction happens when the muscles and ligaments around the bottom of your hips are injured, strained, or weakened. A perineum lump may appear where muscles are tight. Hemorrhoids happen when blood vessels near your anus or rectum get swollen. You may notice them as tender or painful lumps close to your perineum. Many common STIs , like herpes and pubic lice, can cause red bumps around your genital and anal area, including on your perineum.
However, they can fill with fluid over time and become large enough to make it difficult to sit. An abscess happens when an opening in your anus gets filled with infected pus. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Important Phone Numbers. When should you call for help?
Where can you learn more? Top of the page. Your Care Instructions A perineal abscess is an infection that causes a painful lump in the perineum. How can you care for yourself at home? If your doctor gave you a sedative: For 24 hours, don't do anything that requires attention to detail.
This includes going to work, making important decisions, or signing any legal documents. It takes time for the medicine's effects to completely wear off. For your safety, do not drive or operate any machinery that could be dangerous. Wait until the medicine wears off.
You need to be able to think clearly and react easily. Be safe with medicines.
0コメント