title: An acquired sensation of wide/smooth vagina: a new classification.
abstract: OBJECTIVE
  To establish a new clinical classification for a wide/smooth vagina.
  
  
  METHODS
  A prospective multiple time series clinical study without intervention. Vaginal rugation, and vaginal/perineal site-specific defects associated with wide/smooth vagina were used as basic clinical parameters to establish a new classification. One hundred symptomatic women associated with acquired sensations of wide/smooth vagina were enrolled. Main outcome measures were to establish the absence or presence of vaginal columnar rugae and/or site-specific vaginal/perineal/vaginal orifice defects.
  
  
  RESULTS
  The absence of columnar rugation and the absence of vaginal/perineal site-specific defects were identified in 16 subjects; the absence of columnar rugae and the presence of vaginal/perineal site-specific defects were present in 76 women. The presence of columnar rugae and the presence of vaginal/perineal site-specific defects were demonstrated in 5 subjects; and the presence of columnar rugae and absence of vaginal/perineal site-specific defects were recognized in 3 subjects.
  
  
  CONCLUSIONS
  A wide vagina classification was developed as a "Category A, Category B, Category C or Category D".
authors.affiliation: Institute of Gynecology, Inc., 7001 Central Ave., St. Petersburg, FL 33710, United States. ao@baymedical.com
authors.forename: Adam
authors.initials: A
authors.lastname: Ostrzenski
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D014621:Vagina / Q000473:pathology*; D014623:Vaginal Diseases / Q000145:classification / Q000473:pathology* / Q000628:therapy; D055815:Young Adult