改良全程阴道紧缩术的临床疗效评价OA

Objective To investigate the therapeutic efficacy of modified total vaginal tightening surgery in the treatment of severe vaginal laxity(VLS)patients.Methods Fifty-three patients with moderate to severe VLS who underwent modified total vaginal tightening surgery and are successfully followed up at the Department of Medical Cosmetology,Third Affiliated Hospital of Zhengzhou University,from January 2020 to December 2022 are selected.Surgical-related indicators,clinical efficacy,and improvements in sexual function are compared.Result Two patients(3.77%)experienced transient urinary retention after surgery,which is relieved by electrical stimulation without the need for catheterization.One patient(1.89%)had minor bleeding at the perineal incision site,which improved after compression.No other complications occurred during the perioperative period.All 53 patients had grade II/grade A wound healing without complications such as hematoma,infection,or scar hyperplasia.Fifty-one patients(96.23%)are satisfied with the external genitalia appearance and vaginal tightness.One patient(1.89%)reported dissatisfaction with vaginal tightness at the 2-month follow-up,with a vaginal capacity of 2 fingers.One patient(1.89%)expressed dissatisfaction with the external genitalia appearance due to slight accumulation of vaginal mucosa at the 2-month follow-up.One patient experienced dyspareunia after surgery,which resolved spontaneously after 6 months.Four patients(7.55%)with vaginal dryness experienced symptom relief compared to preoperative status.Seven patients(13.21%)with symptoms of recurrent vaginal itching and increased vaginal discharge showed significant improvement compared to preoperative status.Eight patients with dyspareunia showed significant improvement in symptoms compared to preoperative status.The dynamic vaginal pressure values and FSFI-6 scores of the 53 patients with severe VLS showed significant improvement at 2,6,and 12 months postoperatively compared to preoperative values(P<0.05).There is no statistically significant difference in dynamic vaginal pressure values between 2,6,and 12 months postoperatively(P>0.05).Conclusion Modified total vaginal tightening surgery not only focuses on vaginal function and external genitalia appearance but also considers enhancing pelvic floor support,which meets the overall diagnosis and treatment needs of VLS and pelvic floor function recovery.It has the advantages of safe operation,fewer complications,and the ability to increase sexual pleasure.The clinical application of this procedure has shown satisfactory.