title: Modified posterior perineoplasty in women.
abstract: OBJECTIVE
  To determine the applicability of dorsal perineal membrane (DPM) and urethrovaginal sphincter muscle (UVSM) site-specific defect reconstructions. The secondary objective was to establish how these reconstructions affect women's physical, emotional, and social well-being.
  
  
  METHODS
  An observational cohort study was conducted for 24 months on 3 patients. Clinical examinations with pelvic organ prolapse quantification panel, validated instruments of the Pain Numeric Scale, the Modified Body Image Scale (M-BIS), and the Female Sexual Function Index (FSFI) were applied preoperatively and 6 months postoperatively.
  
  
  RESULTS
  Intraoperatively the DPM and the UVSM site-specific defects were identified and their reconstructions were performed without surgical complications. Postoperatively, symptoms have subsided, perineal body and genital hiatus returned to expected limits, FSFI increased, and M-BIS improved.
  
  
  CONCLUSIONS
  In this study group, modified posterior perineoplasty was applied with ease and the operation alleviated physical, emotional, and social symptoms associated with posterior perineum defects.
authors.forename: Adam
authors.initials: A
authors.lastname: Ostrzenski
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004414:Dyspareunia / Q000209:etiology / Q000601:surgery; D004954:Esthetics; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery; D010147:Pain Measurement; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery; D010502:Perineum / Q000293:injuries / Q000601:surgery*