Ashley P Woodward1, Catherine A Matthews. 1. From the Department of Obstetrics and Gynecology, Virginia Commonwealth University Health System, Richmond VA.
Abstract
OBJECTIVE: : To determine outcomes of revision perineoplasty for women with persistent pain and anatomic distortion of the perineum following obstetric perineal laceration repair. METHODS: : A prospective cohort study of 9 women who underwent revision perineoplasty for persistent dyspareunia and perineal scarring was performed. Symptoms of perineal pain, coital activity, dyspareunia, impact on self-esteem, and vaginal scarring were compared. Statistical analysis was performed using paired t-tests. RESULTS: : All women had anatomic distortion of the perineum prior to surgical revision. Postoperatively, no woman had persistent scarring or granulation tissue. There was a significant decline in perineal pain from 6.1 ± 2.89 to 0.5 ± 1.13 (P = 0.02) and 89% of subjects reported an increase in coital frequency and satisfaction (P = 0.0002). An improvement in self-esteem and lifestyle were reported by 77% and 89%, respectively. CONCLUSION: : In women with dyspareunia and perineal defects following perineal laceration repair, early consideration should be made for revision perineoplasty as a significant impact is noted on sexual function and quality of life.
OBJECTIVE: : To determine outcomes of revision perineoplasty for women with persistent pain and anatomic distortion of the perineum following obstetric perineal laceration repair. METHODS: : A prospective cohort study of 9 women who underwent revision perineoplasty for persistent dyspareunia and perineal scarring was performed. Symptoms of perineal pain, coital activity, dyspareunia, impact on self-esteem, and vaginal scarring were compared. Statistical analysis was performed using paired t-tests. RESULTS: : All women had anatomic distortion of the perineum prior to surgical revision. Postoperatively, no woman had persistent scarring or granulation tissue. There was a significant decline in perineal pain from 6.1 ± 2.89 to 0.5 ± 1.13 (P = 0.02) and 89% of subjects reported an increase in coital frequency and satisfaction (P = 0.0002). An improvement in self-esteem and lifestyle were reported by 77% and 89%, respectively. CONCLUSION: : In women with dyspareunia and perineal defects following perineal laceration repair, early consideration should be made for revision perineoplasty as a significant impact is noted on sexual function and quality of life.
Authors: Heather J Furnas; Francisco L Canales; Rachel A Pedreira; Carly Comer; Samuel J Lin; Paul E Banwell Journal: Plast Reconstr Surg Glob Open Date: 2021-07-06
Authors: Mustafa Ulubay; Ugur Keskin; Ulas Fidan; Mustafa Ozturk; Serkan Bodur; Ali Yılmaz; Mehmet Ferdi Kinci; Mufit Cemal Yenen Journal: Biomed Res Int Date: 2016-08-17 Impact factor: 3.411