Double Opposing Zplasty with VY Advancement of the perineum: Long-term results of a new technique as an alternative to Fenton's operation for narrowing and splitting of the skin at the posterior vaginal fourchette.

Autor: Frappell J; Depts. of Obstetrics and Gynaecology and Plastic Surgery, Derriford Hospital, Plymouth, UK. Electronic address: jonathanfrappell@hotmail.com., Rider, Riadin L; Depts. of Obstetrics and Gynaecology and Plastic Surgery, Derriford Hospital, Plymouth, UK., Ebeid E; Depts. of Obstetrics and Gynaecology and Plastic Surgery, Derriford Hospital, Plymouth, UK., Asmussen T; Depts. of Obstetrics and Gynaecology and Plastic Surgery, Derriford Hospital, Plymouth, UK., Morris R; Depts. of Obstetrics and Gynaecology and Plastic Surgery, Derriford Hospital, Plymouth, UK. Electronic address: peninsulaplastics2@gmail.com.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2018 Apr; Vol. 223, pp. 46-49. Date of Electronic Publication: 2018 Feb 09.
DOI: 10.1016/j.ejogrb.2018.02.003
Abstrakt: Objective: To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton's procedure.
Study Design: A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec. 2013. The main outcome measure was the change in sexual satisfaction scores, using a visual analogue scale, before and after the procedure.
Results: There was a statistically significant improvement in sexual satisfaction scores in the majority of patients. This was particularly marked in patients who had previously undergone an unsuccessful Fenton's operation.
Conclusions: Double opposing Z plasty with VY advancement of the perineum (The Plymouth Procedure)should be offered to all patients in whom Fenton's operation has been unsuccessful,and considered as an alternative to Fenton's as a primary procedure.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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