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== Perineal hernia == * Caused by congenital or acquired defects * Uncommon * Can occur after APR or perineal prostatectomy * Hernial sac protrudes through the pelvic diaphragm * Symptoms usually related to protrusion of a mass through the defect that is worsened by sitting or standing * May feel bulge on bimanual rectal-vaginal exam * Repair through transabdominal approach, or combined transabdominal/perineal approach. Close small defects with permanent suture and larger defects with mesh [[Category:Abdo wall and retroperitoneum]]
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