title: Assessment of the Effects of Perineoplasty on Female Sexual Function.
abstract: BACKGROUND
  The scar tissue formed by episiotomy during vaginal delivery, and the related pain, is very frequent. The change in the normal anatomy can cause cosmetic and physiologic problems. It can affect and cause deterioration in sexual functions. Therefore, making the right diagnosis and applying the right surgical procedures are very important.
  
  
  OBJECTIVE
  Our aim was to examine the effect of the perineoplasty operation on the sexual dysfunctions that present due to vaginal delivery.
  
  
  METHODS
  Self-controlled study.
  
  
  METHODS
  Forty patients, who attended our clinic between April 2012 and May 2013, and who were between the ages of 20 and 50 years, were included in the study. The patients had complaints of scar tissue in the perineum and various sexual dysfunctions after vaginal delivery, and they were suitable for perineoplasty. The Female Sexual Function Index (FSFI) questionnaire was applied to the patients before and 6 months after the operation, and the results were compared.
  
  
  RESULTS
  After the perineoplasty operation, there was a statistically significant improvement in the patients in the domains of sexual desire, arousal, lubrication, orgasm, and sexual satisfaction (p<0.005). However, there was no significant improvement in the feeling of pain during sexual intercourse (p=0.184). The mean±SD total FSFI score increased significantly after the operation (p<0.005).
  
  
  CONCLUSIONS
  The sexual dysfunctions that develop due to perineal damage during vaginal delivery can benefit significantly from the perineoplasty operation if the indications are correct. However, vaginal perineoplasty did not provide an improvement in dyspareunia.
authors.affiliation: Department of Obstetrics and Gynecology, Kulu State Hospital, Konya, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: İnan
authors.affiliation: Department of Obstetrics and Gynecology, Ereğli State Hospital, Konya, Turkey.
authors.forename: Meriç Çağrı
authors.initials: MÇ
authors.lastname: Ağır
authors.affiliation: Department of Obstetrics and Gynecology, Sason State Hospital, Batman, Turkey.
authors.forename: Fulya Gökdağlı
authors.initials: FG
authors.lastname: Sağır
authors.affiliation: Department of Obstetrics and Gynecology, Arnavutköy State Hospital, İstanbul, Turkey.
authors.forename: Atınç
authors.initials: A
authors.lastname: Özer
authors.affiliation: Department of Anesthesiology and Reanimation, Kulu State Hospital, Konya, Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Özbek
authors.affiliation: Department of Anesthesiology and Reanimation, Kulu State Hospital, Konya, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Dayanır
authors.affiliation: Department of Otorhinolaryngology, Kulu State Hospital, Konya, Turkey.
authors.forename: Gökçe Saygı
authors.initials: GS
authors.lastname: Uysal
authors.affiliation: Department of Otorhinolaryngology, Kulu State Hospital, Konya, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Uysal
keywords: Female; perineoplasty; sexual dysfunction