title: Colpoperineoplasty in women with a sensation of a wide vagina.
abstract: BACKGROUND
  In women complaining of a wide vagina and decreased sexual satisfaction we performed colporrhaphy--including perineoplasty in most cases.
  
  
  METHODS
  Between November 2003 and October 2004, a total of 53 patients were selected for operation at the Urogynecology and Vaginal Surgery Unit, Las Condes Clinic, Chile. The patients were requested to assess the results of surgery in terms of experienced vaginal tightening and regained or enhanced sexual satisfaction.
  
  
  RESULTS
  Six months after surgery, 94% experienced a tighter vagina and said they were able to achieve orgasm. Expectations were fulfilled in 74%, partially fulfilled in 21%, and not met in 5%. Only two patients (4%) regretted surgery, and two patients had minor surgical complications.
  
  
  CONCLUSIONS
  In a selected group of women with acquired sensation of a wide vagina, colporrhaphy seems to improve symptoms and enhance sexual gratification in a majority of the women. A controlled trial with a longer follow-up is needed for a proper evaluation.
authors.affiliation: Department of Obstetrics and Gynecology, Clínica Las Condes, Santiago, Las Condes, Chile. jackp@mi.cl
authors.forename: Jack S
authors.initials: JS
authors.lastname: Pardo
authors.forename: Vicente D
authors.initials: VD
authors.lastname: Solà
authors.forename: Paolo A
authors.initials: PA
authors.lastname: Ricci
authors.forename: Enrique F
authors.initials: EF
authors.lastname: Guiloff
authors.forename: Odette K
authors.initials: OK
authors.lastname: Freundlich
mesh_terms: D000328:Adult; D000368:Aged; D002987:Clitoris / Q000502:physiology; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007989:Libido / Q000502:physiology; D008875:Middle Aged; D009948:Orgasm / Q000502:physiology; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D012677:Sensation / Q000502:physiology*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*