OBJECTIVE: To determine the applicability of dorsal perineal membrane (DPM) and urethrovaginal sphincter muscle (UVSM) site-specific defect reconstructions. The secondary objective was to establish how these reconstructions affect women's physical, emotional, and social well-being. STUDY DESIGN: An observational cohort study was conducted for 24 months on 3 patients. Clinical examinations with pelvic organ prolapse quantification panel, validated instruments of the Pain Numeric Scale, the Modified Body Image Scale (M-BIS), and the Female Sexual Function Index (FSFI) were applied preoperatively and 6 months postoperatively. RESULTS: Intraoperatively the DPM and the UVSM site-specific defects were identified and their reconstructions were performed without surgical complications. Postoperatively, symptoms have subsided, perineal body and genital hiatus returned to expected limits, FSFI increased, and M-BIS improved. CONCLUSION: In this study group, modified posterior perineoplasty was applied with ease and the operation alleviated physical, emotional, and social symptoms associated with posterior perineum defects.
OBJECTIVE: To determine the applicability of dorsal perineal membrane (DPM) and urethrovaginal sphincter muscle (UVSM) site-specific defect reconstructions. The secondary objective was to establish how these reconstructions affect women's physical, emotional, and social well-being. STUDY DESIGN: An observational cohort study was conducted for 24 months on 3 patients. Clinical examinations with pelvic organ prolapse quantification panel, validated instruments of the Pain Numeric Scale, the Modified Body Image Scale (M-BIS), and the Female Sexual Function Index (FSFI) were applied preoperatively and 6 months postoperatively. RESULTS: Intraoperatively the DPM and the UVSM site-specific defects were identified and their reconstructions were performed without surgical complications. Postoperatively, symptoms have subsided, perineal body and genital hiatus returned to expected limits, FSFI increased, and M-BIS improved. CONCLUSION: In this study group, modified posterior perineoplasty was applied with ease and the operation alleviated physical, emotional, and social symptoms associated with posterior perineum defects.
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