We discussed trying perineal massage that she started to do with Paul's help.
As a surgeon, Simon's work came second to his interest in sanitary science, but he claimed priority over Cock in the operation of perineal puncture of the urethra in cases of retention from stricture.
The better you prepare your perineal tissues for stretching, the less likely they are to tear, or to need an episiotomy.
An extensive abdominoperineal resection was performed leaving a huge perineal defect (figure 4) which was reconstructed using bilateral myocutaneous gracilis flaps.
You can reduce your chances of needing an episiotomy by practicing perineal massage during your last few weeks of pregnancy.