Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Department of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang Province, China.
J Plast Reconstr Aesthet Surg. 2023 May;80:28-35. doi: 10.1016/j.bjps.2023.01.026. Epub 2023 Feb 8.
Vaginal tightening or vaginoplasty has been gaining popularity, while validated methods of evaluation and treatment are still lacking. Herein, we describe a bilateral wall tightening technique for vaginal laxity and evaluate the feasibility of this method.
From April 2020 to September 2021, 25 women with vaginal laxity underwent vaginal tightening, and 22 women were included in this retrospective observational study. The inclusion criteria were as follows: participants with at least one delivery and reported vaginal laxity, but without a history of underlying diseases. Vaginal pressure tests and questionnaires were used to evaluate vaginal laxity and sexual quality before and 6 months after the surgery.
The study included 22 women (aged 29-46 years), and the follow-up period was 14.1 ± 3.3 months. The score based on the vaginal laxity questionnaire was improved as a result of surgery (preoperative median: 2.00, interquartile range [IQR]: 1.00-2.00; postoperative median: 5.00, IQR: 5.00-6.25, p < 0.001). The vaginal pressure increased from 2.3 ± 1.8 mm/Hg to 21.4 ± 3.7 mm/Hg. Sexual distress changed from 24.2 ± 8.9-16.1 ± 4.8 after surgery (p < 0.001), and sexual dysfunction with an average score of 20.1 ± 10.6 before surgery improved after the procedure (26.0 ± 10.8, p < 0.001). Women also reported improved scores in desire, arousal, orgasm, and satisfaction. In addition, there were no intraoperative complications or significant events during the follow-up period.
Bilateral vaginal tightening without mucosal excision is a feasible and effective surgical approach for the management of vaginal laxity.
阴道紧缩术（vaginal tightening）或阴道成形术（vaginoplasty）日益流行，但其评估和治疗方法仍有待验证。本文描述了一种治疗阴道松弛的双侧壁紧缩技术，并评估了该方法的可行性。
2020 年 4 月至 2021 年 9 月，25 例阴道松弛患者接受了阴道紧缩术，其中 22 例患者纳入本回顾性观察研究。纳入标准为：至少经阴道分娩一次且自述阴道松弛，但无潜在疾病史的患者。术前和术后 6 个月采用阴道压力测试和问卷调查评估阴道松弛和性生活质量。
本研究共纳入 22 例患者（年龄 29-46 岁），随访时间为 14.1±3.3 个月。手术改善了阴道松弛问卷评分（术前中位数：2.00，四分位距 [IQR]：1.00-2.00；术后中位数：5.00，IQR：5.00-6.25，p<0.001）。阴道压力从 2.3±1.8 mm/Hg 增加到 21.4±3.7 mm/Hg。术后性困扰从 24.2±8.9 分降至 16.1±4.8 分（p<0.001），术前平均得分为 20.1±10.6 的性功能障碍也有所改善（术后 26.0±10.8，p<0.001）。患者的欲望、唤起、高潮和满意度评分也有所提高。此外，术中无并发症，随访期间无重大事件发生。
不切除阴道黏膜的双侧阴道紧缩术是治疗阴道松弛的一种可行且有效的手术方法。
