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Repair of complex perineal hernias

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A perineal hernia is rare. Perineal hernia can be caused by prostate and urinary diseases that weaken the pelvic floor. Constipation and diarrhea can cause perineal hernia. A weak levator ani muscle or disease of the pudendal nerve can also lead to perineal hernia. They are also known complication following major pelvic surgery.

Other conditions can cause a hernia around the pelvic floor. Fluids and fatty tissue are most likely to enter the cavity first. As the hole develops, parts of the intestine, rectum or bladder may enter the hernia.

Early symptoms of a perineal hernia include vague feelings of discomfort and pressure around the rectum. A more developed perineal hernia will show itself as a lump on one or both sides of the rectum.

Conditions Treated

Repair of the perineal hernia requires carefully removing the hernia sac from adjoining structures including the bladder and the vagina. The pelvic floor is repaired primarily and reinforced with a piece of mesh. The peritoneum is closed over the mesh.