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Nearly a dozen patients alleged unnecessary suturing or crude comments about it: Brock told several plaintiffs he inserted an “extra stitch” in their perineal areas to make them “tighter” after childbirth, the lawsuit said.

For example, a backdrop wall of deep green Evergreen shrubs to frame a palette of easy-care bright green and red grasses, combined with pops of contrasting perineal color.

Use of the device, called a perineal post, is known to cause nerve damage, but this was not mentioned on her consent form.

One woman sought help because she had no idea how to care for her third-degree perineal tear.

Hemorrhoids occur when someone puts too much pressure on their perineal areas, particularly when they are obese, or if they do heavy lifting on a regular basis.