How is perineal hernia repaired?

The perineal hernia is repaired using the internal obturator muscle flap technique (see right). This surgical procedure creates a new pelvic diaphragm with the transposed muscle flap. Castration is always performed in conjunction with perineal hernia surgery so that the prostate will shrink.

Do perineal hernias come back?

In 10-15% of the cases, recurrence of the hernia may occur within a year. Additional complications include rectal prolapse, urinary or fecal incontinence (rare), sciatic nerve injury (very rare), and perineal abscessation or fistula formation (rare).

How do you know if you have perineal hernia?

The most common symptoms of a perineal hernia are swelling beside the rectum, constipation, and straining to defecate. Other symptoms are painful defecation, fecal incontinence, altered tail carriage, and straining to urinate.

Is hernia surgery considered major surgery?

A hernia repair returns the organ or structure to its proper place and fixes the weakened area of muscle or tissue. A hernia repair is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options available.

What to do if you have a perineal hernia?

What are the perineal hernia treatment options? There are some things you can do to temporarily relieve the pains it’s associated with. Sadly, surgery is the only real option. In a majority of cases, a prosthetic mesh is needed to complete it.

Can a small inguinal hernia be pushed back?

The hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much. The hernia can be pushed back into the belly or it goes away when you lie down. (If it cannot be pushed back, surgery must be done sooner.) You are taking medicines such as blood thinners that cannot be stopped for surgery.

Do you need surgery for a small hernia?

And some people may never need surgery for a small hernia. If the hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much, you and your doctor may simply continue to watch for symptoms to occur. Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through.

Can a dog have a perineal hernia?

The same is true for an anal hernia in dogs. A perineal hernia in dogs is not only a possibility, it is not uncommon! They have a similar enough structure to their internal bodies that it shouldn’t come as a surprise.

Is it possible to repair a perineal hernia?

Background: A perineal hernia can severely disable everyday activities. Its repair is a surgical challenge, and guidance by the literature is limited. The series described so far are small or encompass a long period in which even nonmesh techniques were used.

When to see a veterinary surgeon for a perineal hernia?

Your veterinarian may wish to refer you and your pet to an ACVS board certified veterinary surgeon for surgical repair of a perineal hernia. Perineal hernias, by themselves, may cause constipation, which in turn, may damage the motility function of the colon. Perineal hernias may also disrupt your pet’s ability to urinate.

What are the symptoms of a perineal hernia in humans?

The symptoms of a perineal hernia in humans have this swelling located near the anus. This can be experienced by men and women. You may notice the pain as you defecate or bend over. The main cause behind this occurrence in humans is surgery around this region of the body with sloppy reconstruction.