Cosmetic Mucosal Vaginal Tightening (Lateral Colporrhaphy): Improving Sexual Sensitivity in Women with a Sensation of Wide Vagina

Adamo, Ciro; Corvi, Monica

doi:10.1097/prs.0b013e3181a3f5dd

Cited by 34 publications

(17 citation statements)

References 4 publications

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“…Among the very few reported studies of postnatal sexual health only one addresses vaginal looseness/lack of muscle tone reported by approximately 20% at 3 months after births and 12% (49 of 403) at 6 months [1]. Others have reported improved sexual satisfaction following colpoperineoplasty procedures for a wide vagina [20,21]. The incidence of vaginal laxity is unknown; contributing to this lack of information is the limited dialog about postnatal sexual problems with healthcare providers and few seeking help for a sexual concern [1,22,23].…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency Treatment of Vaginal Laxity after Vaginal Delivery: Nonsurgical Vaginal Tightening

Millheiser

Pauls

Herbst³

et al. 2010

The Journal of Sexual Medicine

120

103

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Introduction All women who have given birth vaginally experience stretching of their vaginal tissue. Long-term physical and psychological consequences may occur, including loss of sensation and sexual dissatisfaction. One significant issue is the laxity of the vaginal introitus. Aim To evaluate safety and tolerability of nonsurgical radiofrequency (RF) thermal therapy for treatment of laxity of the vaginal introitus after vaginal delivery. We also explored the utility of self-report questionnaires in assessing subjective effectiveness of this device. Methods Pilot study to treat 24 women (25–44 years) once using reverse gradient RF energy (75–90 joules/cm2), delivered through the vaginal mucosa. Post-treatment assessments were at 10 days, 1, 3, and 6 months. Main Outcome Measures Pelvic examinations and adverse event reports to assess safety. The author modified Female Sexual Function Index (mv-FSFI) and Female Sexual Distress Scale-Revised (FSDS-R), Vaginal Laxity and Sexual Satisfaction Questionnaires (designed for this study) to evaluate both safety and effectiveness, and the Global Response Assessment to assess treatment responses. Results No adverse events were reported; no topical anesthetics were required. Self-reported vaginal tightness improved in 67% of subjects at one month post-treatment; in 87% at 6 months (P <0.001). Mean sexual function scores improved: mv-FSFI total score before treatment was 27.6 ± 3.6, increasing to 32.0 ± 3.0 at 6 months (P <0.001); FSDS-R score before treatment was 13.6 ± 8.7, declining to 4.3 ± 5.0 at month 6 post-treatment (P <0.001). Twelve of 24 women who expressed diminished sexual satisfaction following their delivery; all reported sustained improvements on SSQ at 6 months after treatment (P = 0.002). Conclusion The RF treatment was well tolerated and showed an excellent 6-month safety profile in this pilot study. Responses to the questionnaires suggest subjective improvement in self-reported vaginal tightness, sexual function and decreased sexual distress. These findings warrant further study.

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Section: Discussionmentioning

confidence: 99%

Radiofrequency Treatment of Vaginal Laxity after Vaginal Delivery: Nonsurgical Vaginal Tightening

Millheiser

Pauls

Herbst³

et al. 2010

The Journal of Sexual Medicine

120

103

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“…Others have proposed that lateral colporrhaphy should be performed to reduce dyspareunia and to treat sensation of a wide vagina [3]. However, in all the previous studies, vaginal mucosal procedures were performed, which decrease vaginal mucosal volume.…”

Section: Discussionmentioning

confidence: 99%

“…Women with the sensation of a wide vagina may complain of decreased friction during coitus and diminished sexual satisfaction, and their male partners may also complain about reduced friction during coitus. Although several nonsurgical and surgical techniques and modifications have been described for the treatment of the sensation of a wide vagina, there is no uniform approach to management [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…For such patients, vaginoplasty to narrow the vaginal caliber is one option, but surgeons have long favored anterior colporrhaphy, posterior colporrhaphy, lateral colporrhaphy, perineoplasty, colpoperineoplasty, or some combination of these [ 3 – 5 ]. Surgeons routinely perform colpoperineoplasty or vaginoplasty as a “one fits all” solution to wide vagina sensation, performing vaginal mucosal excision procedures to treat these patients by narrowing the vaginal caliber [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina

Ulubay

Keskin

Fidan

et al. 2016

BioMed Research International

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Background. The sensation of a wide vagina is a common problem for women after childbirth. As its etiology is unknown, there is no uniform management strategy. We hypothesized that, rather than vaginal laxity, the cause was level 3 pelvic support deficiency. Methods. This retrospective study compared preoperative and postoperative genital hiatus length, perineal length, and total vaginal length in patients treated with perineoplasty for the sensation of a wide vagina. A telephone survey was used to determine postoperative patient and male partner satisfaction rates. Results. Mean age of patients was 48 (26–68) years; mean body mass index (BMI) was 25.3 (17.6–33.2); and mean parity was 2.5 (2–5). Preoperative and postoperative genital hiatus, perineal length, and total vaginal length were 4.62 and 3.18 (p < 0.01), 3.06 and 4.04 (p < 0.01), and 9.43 and 9.43 (p = 0.882), respectively. At the 6-month follow-up, the success rate of the perineoplasty procedure was 87.9%; according to a visual analog scale, partner satisfaction rate was 92.6%. Ten percent (n = 4) of patients said they experienced dyspareunia during sexual intercourse at the introitus of the vagina. Conclusion. With low dyspareunia rates, low complication rates, high patient satisfaction, and satisfactory anatomical success, perineoplasty can be considered successful for treatment of the sensation of a wide vagina.

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“…In this respect, vaginal rejuvenation can be indicated for patients with the sensation of a wide vagina and decreased sexual satisfaction. There have been only a few studies with variable methods for rejuvenation of the vagina [1][2][3]. Anterior colporrhaphy, high posterior colporrhaphy, and lateral colporrhaphy (excision of lateral vaginal mucosa) are traditionally performed methods.…”

Section: Introductionmentioning

confidence: 99%

Vaginal Rejuvenation with Gore-Mycromesh

Park

Whang

2015

Aesth Plast Surg

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Recently, we introduced functional vaginal rejuvenation with elastic silicone threads. However, some patients with specific indications need other biocompatible materials for rejuvenation of the vagina. Gore-Mycromesh is one of the most commonly used materials in plastic and reconstructive surgical fields and it is composed of expanded poly-tetrafluroethylene. In this study, we introduced our clinical experience with static vaginal rejuvenation using Gore-Mycromesh to specifically assess the overall patient satisfaction (Female Sexual Function Index, FSFI). This study included 50 patients who underwent vaginal rejuvenation with a Gore-Mycromesh between 2010 and 2012. After marking two incisions at the inner side of the vaginal inlet and posterior wall, respectively, we performed submucosal dissection at the posterior vaginal wall and then grafted and secured a Gore-Mycromesh to the dissected area (muscle/fascia). Overall the FSFI improved as time progressed up to a year postoperatively. This is especially prominent in the FSFI satisfaction subscore. All but eight patients (42/50, 84 %) were "very satisfied (5)" or "satisfied (4)" with the outcomes after the vaginal rejuvenation. The overall complication rate was 8 %. Based on our clinical experience with the 50 cases, we think that vaginal rejuvenation with Gore-Mycromesh significantly improved postoperative outcomes, resulting in improved sexual function with a focus on improving the FSFI satisfaction subscore in mid-term follow-up. Elderly patients experience better outcomes using gore mycromesh rather than silicone thread because we can plicate the vaginal posterior wall with senile changes simultaneously using an open technique. However, further studies would be warranted for better positioning and adherence of grafted implants to surrounding tissue and for increasing the tightening effect of the implant and its sufficient longevity.

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Cosmetic Mucosal Vaginal Tightening (Lateral Colporrhaphy): Improving Sexual Sensitivity in Women with a Sensation of Wide Vagina

Cited by 34 publications

References 4 publications

Radiofrequency Treatment of Vaginal Laxity after Vaginal Delivery: Nonsurgical Vaginal Tightening

Radiofrequency Treatment of Vaginal Laxity after Vaginal Delivery: Nonsurgical Vaginal Tightening

Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina

Vaginal Rejuvenation with Gore-Mycromesh

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