title: Perineal hernia: a case of outlet dysfunction.
abstract: This article describes and discusses a successfully treated case of a primary posterior perineal hernia which is a rare cause of outlet dysfunction. A 46-year-old female patient had a 6 cm left para-anal protrusion and a 7-year history of outlet dysfunction. The perineal hernia orifice was closed via an abdominal approach using both a polypropylene mesh and a Parietex Composite Net. A rectopexy to the promontory of the sacrum was then performed. Moreover, after 6 months' follow-up, the patient presented a sense of incomplete evacuation and underwent a prolassectomy to treat a hidden rectal prolapse. This clinical case shows that the surgical treatment of a pelvic pathology can be successful for the correction of a serious functional defect such as outlet dysfunction.
authors.affiliation: Department of Surgical Sciences, Organ Transplantation and Advanced Technology, Division of General Surgery, Cannizzaro Hospital, Catania.
authors.forename: Lino
authors.initials: L
authors.lastname: Succi
authors.forename: Nnawuihe Luca
authors.initials: NL
authors.lastname: Ohazuruike
authors.forename: Conchita Emanuela
authors.initials: CE
authors.lastname: Oliveri
authors.forename: Antonino Carlo
authors.initials: AC
authors.lastname: Privitera
authors.forename: Serafina
authors.initials: S
authors.lastname: Prumeri
authors.forename: Antonino
authors.initials: A
authors.lastname: Politi
authors.forename: Antonio
authors.initials: A
authors.lastname: Garufi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Randazzo
mesh_terms: D052858:Cystocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010502:Perineum; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D020047:Rectocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome