title: [Improvement of vaginal relaxation by vaginal narrowing technique with double suturing].
abstract: OBJECTIVE
  To investigate the surgical procedures and outcomes of curing the mild and medium vaginal relaxation by double suturing vaginal muscularis.
  
  
  METHODS
  From May 2005 to November 2008, 8 patients (aged 30-45 years old) with mild and medium vaginal relaxation were treated. All the patients were married and had reproductive history of natural childbirth. The double semiring suture was performed in the region 4 cm and 0.5 cm away from the vaginal orifice, respectively, forming the first and the second semicircle to make vagina outside 1/3 segments and vagina muscles tighten.
  
  
  RESULTS
  The time of operation was 20-30 minutes (average 25 minutes). There was no obvious bleeding and injury of the rectum and urethra during operation. All the incisions healed by first intention. The vagina accommodated 2 fingers without scar on its mucosa 1-2 months after operation. Eight patients were followed up for 6-24 months and the patients resumed their sexual life 4-8 weeks after operation with satisfied improvement.
  
  
  CONCLUSIONS
  The technique of double suturing vaginal muscularis is easy and simple to perform with mild injury, fast postoperative recovery, and less postoperative complications. It is one of the effective methods to treat mild and medium vaginal relaxation.
authors.affiliation: Department of General Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R. China.
authors.forename: Sanhu
authors.initials: S
authors.lastname: Liu
authors.forename: Ying
authors.initials: Y
authors.lastname: Cen
authors.forename: Quan
authors.initials: Q
authors.lastname: Liu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D013536:Suture Techniques; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery*