The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review

Alavi-Arjas, Fatemeh; Goodman, Michael P.; Simbar, Masoumeh; Majd, Hamid Alavi; Nahidi, Fatemeh; Rastegar, Fereshteh

doi:10.1007/s00192-024-05969-z

Int Urogynecol J

2024

DOI: 10.1007/s00192-024-05969-z

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The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review

Fatemeh Alavi-Arjas,

Michael P. Goodman,

Masoumeh Simbar

et al.

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2024

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Cited by 1 publication

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Opinions of Gynecologists About Indication and Technique of Perineoplasty

Swieten,

Stralen,

Vollebregt

et al. 2024

JCM

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Background. Perineoplasty is a frequently performed procedure as part of prolapse surgery. Despite its frequent use, there is a lack of evidence on the optimal indication, surgical technique and adverse outcomes. We intended to gain insight into the current opinions on indications and techniques of perineoplasty among (uro)gynecologists worldwide. Methods. We conducted a survey among members of the International UroGynecological Association (IUGA) to objectify indications for perineoplasty and aspects of surgical technique. Results. A total of 114 urogynecologists responded, with 98% performing perineoplasty. A total of 85% of respondents aimed to approximate the bulbocavernosus muscle, whereas 27% aimed to include the puborectal muscle as well. A total of 86% of respondents used 1–4 resorbable sutures, especially vicryl 2/0 (39%) or vicryl 0 (52%). According to the respondents, a “wide genital hiatus at physical examination” (87%) and “subjective complaints of a wide genital hiatus” (84%) were considered good/excellent indications for perineoplasty, whereas “fecal incontinence”, “apical prolapse” and “perineal pain” were absolutely/mostly not a good indication. Reasons to not perform perineoplasty were pelvic pain (59%) and dyspareunia (64%). Most responders underlined the need for more research on this topic (8.5 out of 10). Conclusions. Perineoplasty is a frequently performed procedure. There is a wide variation in the indications for and surgical techniques of perineoplasty. Therefore, research is needed to identify which patients will benefit from perineoplasty and how to optimally perform this surgery.

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Opinions of Gynecologists About Indication and Technique of Perineoplasty

Swieten,

Stralen,

Vollebregt

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

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The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review

Cited by 1 publication

References 52 publications

Opinions of Gynecologists About Indication and Technique of Perineoplasty

Opinions of Gynecologists About Indication and Technique of Perineoplasty

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