Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina.
Background. The sensation of a wide vagina is a common problem for women after childbirth. As its etiology is unknown, there is no uniform management strategy. We hypothesized that, rather than vaginal laxity, the cause was level 3 pelvic support deficiency. Methods. This retrospective study compared preoperative and postoperative genital hiatus length, perineal length, and total vaginal length in patients treated with perineoplasty for the sensation of a wide vagina. A telephone survey was used to determine postoperative patient and male partner satisfaction rates. Results. Mean age of patients was 48 (26-68) years; mean body mass index (BMI) was 25.3 (17.6-33.2); and mean parity was 2.5 (2-5). Preoperative and postoperative genital hiatus, perineal length, and total vaginal length were 4.62 and 3.18 (p < 0.01), 3.06 and 4.04 (p < 0.01), and 9.43 and 9.43 (p = 0.882), respectively. At the 6-month follow-up, the success rate of the perineoplasty procedure was 87.9%; according to a visual analog scale, partner satisfaction rate was 92.6%. Ten percent (n = 4) of patients said they experienced dyspareunia during sexual intercourse at the introitus of the vagina. Conclusion. With low dyspareunia rates, low complication rates, high patient satisfaction, and satisfactory anatomical success, perineoplasty can be considered successful for treatment of the sensation of a wide vagina.
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Mustafa
0000-0002-3775-4354
M
Ulubay
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Ugur
U
Keskin
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Ulas
U
Fidan
Obstetrics and Gynecology Department, Etimesgut Military Hospital, Etimesgut, 06100 Ankara, Turkey.
Mustafa
M
Ozturk
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Serkan
S
Bodur
Obstetrics and Gynecology Department, Haydarpasa Military Training Hospital, Gulhane Military Medical Academy (GATA), 34668 Istanbul, Turkey.
Ali
A
Yılmaz
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Mehmet Ferdi
MF
Kinci
Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey.
Mufit Cemal
MC
Yenen
D000328:Adult; D000359:Aftercare; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014621:Vagina / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*