Burt J C, Schramm A R
Ann Chir Gynaecol. 1983;72(5):268-73.
This paper offers a report of a vulvo-vaginoplasty, that rotates the vaginal axis away from alignment with the internal genitalia and bladder to treat refractory coitally connected recurrent cystitis and deep internal genital and bladder dyspareunia, by lessening coital trauma to the bladder and the internal genitalia. This rotation also aligns the vagina with the clitoris and the upper inner labia, which increases the mechanical efficiency of indirect coital clitoral manipulation via the inner labia and adds direct coital clitoral manipulation. The intensity of coital sexual response is thereby equated with the intensity of clitoral response. Standard reconstructive surgical procedures are utilized to rotate the axis of the vagina, which shorten the long axis of the vagina, requiring the concomitant construction from the labia majora of an extension of the vagina and a new introitus, both of an appropriate diameter. This extends the vagina to the clitoris and the indications for the operation to treatment of iatrogenic or congenital stricture and shortening of the vagina; and childbirth enlargement. The clitoris is not moved. It is circumcised to increase clitoral response. A preliminary report of results is included herein.
本文报告了一种外阴阴道成形术，该手术通过减少性交时对膀胱和内生殖器的创伤，使阴道轴旋转至与内生殖器和膀胱不再对齐，以治疗难治性性交相关性复发性膀胱炎以及深部内生殖器和膀胱性交困难。这种旋转还使阴道与阴蒂及上内侧阴唇对齐，提高了通过内侧阴唇间接性交时阴蒂刺激的机械效率，并增加了直接性交时对阴蒂的刺激。由此，性交时性反应的强度与阴蒂反应的强度相当。采用标准的重建手术方法来旋转阴道轴，这会缩短阴道的长轴，因此需要从大阴唇构建一个合适直径的阴道延长部和新的阴道口。这将阴道延伸至阴蒂，并将该手术的适应证扩展至医源性或先天性阴道狭窄和缩短；以及分娩后阴道扩大。阴蒂不移动。对其进行环切以增强阴蒂反应。本文还包括了初步的结果报告。
