Austin Ryan E, Lista Frank, Vastis Peter-George, Ahmad Jamil
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto,, Toronto, Ontario, Canada.
Medical School, Royal College of Surgeons in Ireland, Dublin, Ireland.
Aesthet Surg J Open Forum. 2019 Oct 15;1(4):ojz030. doi: 10.1093/asjof/ojz030. eCollection 2019 Dec.
Following vaginal trauma, most commonly vaginal delivery, women may experience vaginal laxity as a result of local tissue stretching and separation of the pelvic floor musculature. In addition to this generalized sensation of laxity, women may complain of decreased sexual satisfaction, gaping of the perineum, and excessive vaginal secretions. Since 2014, the authors have used a posterior vaginoplasty with perineoplasty technique for the surgical management of vaginal laxity. To date, the authors have performed surgical vaginal tightening in 30 consecutive patients and found that the posterior vaginoplasty with perineoplasty technique has allowed us to achieve reproducible outcomes with no postoperative complications. This article will review the authors' approach to patients presenting for surgical vaginal tightening and the authors' experience to date, including our preoperative screening, perioperative management, and detailed steps of the procedure.
在阴道创伤后，最常见的是经阴道分娩，女性可能会因局部组织拉伸和盆底肌肉组织分离而出现阴道松弛。除了这种普遍的松弛感外，女性还可能抱怨性满意度下降、会阴裂开和阴道分泌物过多。自2014年以来，作者采用后阴道成形术与会阴成形术技术来手术治疗阴道松弛。迄今为止，作者已连续为30例患者进行了阴道紧缩手术，并发现后阴道成形术与会阴成形术技术使我们能够获得可重复的结果，且无术后并发症。本文将回顾作者对前来接受阴道紧缩手术患者的治疗方法以及迄今为止的经验，包括术前筛查、围手术期管理和手术的详细步骤。
