title: Changes in vaginal anatomy and sexual function after vaginal surgery.
abstract: OBJECTIVE
  The study's objectives were to determine changes in vaginal length and caliber after vaginal surgery and to correlate changes with sexual function.
  
  
  METHODS
  This prospective study measured vaginal length and caliber before and immediately after vaginal surgery and at 5- to 8-week follow-up. A sexual function questionnaire was administered preoperatively and 6 months postoperatively.
  
  
  RESULTS
  Ninety-two women were enrolled (mean age, 64 years); 44 (47.8%) were sexually active. The most common procedure was Mayo-McCall culdoplasty in 85 women (92.4%). Fourteen (15.2%) had intentional vaginal shortening and narrowing (coning). Mean vaginal length changed from 10.4 cm preoperatively to 8.7 cm at 5- to 8-week follow-up in women not having coning. Mean vaginal caliber changed from 3.2 to 2.8 cm. Preoperative and postoperative sexual function questionnaire scores did not correlate with vaginal measurements.
  
  
  CONCLUSIONS
  Vaginal shortening and narrowing occurred after vaginal surgery; sexual function was unchanged.
authors.affiliation: Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
authors.forename: John A
authors.initials: JA
authors.lastname: Occhino
authors.forename: Emanuel C
authors.initials: EC
authors.lastname: Trabuco
authors.forename: Christine A
authors.initials: CA
authors.lastname: Heisler
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Klingele
authors.forename: John B
authors.initials: JB
authors.lastname: Gebhart
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D014621:Vagina / Q000033:anatomy & histology* / Q000601:surgery*