Vaginal Rugation Rejuvenation (Restoration): A New Surgical Technique for an Acquired Sensation of Wide/Smooth Vagina

Ostrzenski, Adam

doi:10.1159/000329338

Cited by 28 publications

(20 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a small observational trial (10 patients in each arm), there was an apparent improvement of sexual function and no complications. The design and small sample size did not allow the authors to draw conclusions from the study …”

Section: Vaginal Laxity Syndromementioning

confidence: 99%

“…The term VLS and therefore its therapy, vaginal rejuvenation, is not endorsed or formally defined by the leading gynecological societies . However, management of the symptoms have evolved from techniques involving sutures and the adaptation of traditional urogynecological procedures to the use of LASER and radiofrequency procedures …”

Section: Vaginal Laxity Syndromementioning

confidence: 99%

“…The design and small sample size did not allow the authors to draw conclusions from the study. 90 In 2014, Lee evaluated two different protocols (15 patients in each arm), using Er:YAG LASER. Women in both groups were evaluated 2 months after the procedure.…”

Section: Grade Of Recommendationmentioning

confidence: 99%

See 2 more Smart Citations

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

Preti¹,

Vieira‐Baptista

Digesu³

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

BACKGROUND The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology is controversial. AIMS In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. MATERIALS & METHODS This project was developed between January and September 2018. The development of this document followed the ICS White Paper Standard Operating Procedures. RESULTS Most of the available studies are limited by their design; for example they lack a control group, patients are not randomized, follow up is short term, series are small, LASER is not compared with standard treatments, and studies are industry sponsored. Due to these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and does not allow for definitive recommendations for its use in routine clinical practice. Histological evidence is commonly reported as proof of tissue regeneration following LASER treatment. However, the histological changes noted can also be consistent with reparative changes after a thermal injury rather than necessarily representing regeneration or restoration of function. The use of LASER in women with vulvodynia or lichen sclerosus should not be recommended in routine clinical practice. There is no biological plausibility or safety data on its use on this population of women. DISCUSSION The available clinical studies do not present convincing data regarding the efficacy of LASER for the treatment of vaginal atrophy or urinary incontinence. Also, while short‐term complications seem to be uncommon, data concerning long‐term outcomes are lacking. CONCLUSION At this point, LASER is not recommended for routine treatment of the aforementioned conditions unless part of well‐designed clinical trials or with special arrangements for clinical governance, consent, and audit.

show abstract

Section: Vaginal Laxity Syndromementioning

confidence: 99%

Section: Vaginal Laxity Syndromementioning

confidence: 99%

See 1 more Smart Citation

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

Preti¹,

Vieira‐Baptista

Digesu³

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…In this respect, vaginal rejuvenation can be indicated for patients with the sensation of a wide vagina and decreased sexual satisfaction. There have been only a few studies with variable methods for rejuvenation of the vagina [1][2][3]. Anterior colporrhaphy, high posterior colporrhaphy, and lateral colporrhaphy (excision of lateral vaginal mucosa) are traditionally performed methods.…”

Section: Introductionmentioning

confidence: 99%

Vaginal Rejuvenation with Gore-Mycromesh

Park

Whang

2015

Aesth Plast Surg

View full text Add to dashboard Cite

Recently, we introduced functional vaginal rejuvenation with elastic silicone threads. However, some patients with specific indications need other biocompatible materials for rejuvenation of the vagina. Gore-Mycromesh is one of the most commonly used materials in plastic and reconstructive surgical fields and it is composed of expanded poly-tetrafluroethylene. In this study, we introduced our clinical experience with static vaginal rejuvenation using Gore-Mycromesh to specifically assess the overall patient satisfaction (Female Sexual Function Index, FSFI). This study included 50 patients who underwent vaginal rejuvenation with a Gore-Mycromesh between 2010 and 2012. After marking two incisions at the inner side of the vaginal inlet and posterior wall, respectively, we performed submucosal dissection at the posterior vaginal wall and then grafted and secured a Gore-Mycromesh to the dissected area (muscle/fascia). Overall the FSFI improved as time progressed up to a year postoperatively. This is especially prominent in the FSFI satisfaction subscore. All but eight patients (42/50, 84 %) were "very satisfied (5)" or "satisfied (4)" with the outcomes after the vaginal rejuvenation. The overall complication rate was 8 %. Based on our clinical experience with the 50 cases, we think that vaginal rejuvenation with Gore-Mycromesh significantly improved postoperative outcomes, resulting in improved sexual function with a focus on improving the FSFI satisfaction subscore in mid-term follow-up. Elderly patients experience better outcomes using gore mycromesh rather than silicone thread because we can plicate the vaginal posterior wall with senile changes simultaneously using an open technique. However, further studies would be warranted for better positioning and adherence of grafted implants to surrounding tissue and for increasing the tightening effect of the implant and its sufficient longevity.

show abstract

“…Ostrzenski stated [1]: ‘Objectives: To evaluate a new surgical technique of vaginal rugae restoration for the management of an acquired sensation of wide/smooth vagina. '…”

mentioning

confidence: 99%

Can Female Genital Cosmetic Surgery Be Considered or Classified as Female Genital Mutilation Type IV?

Puppo¹

2013

Gynecol Obstet Invest

View full text Add to dashboard Cite

Vaginal Rugation Rejuvenation (Restoration): A New Surgical Technique for an Acquired Sensation of Wide/Smooth Vagina

Cited by 28 publications

References 36 publications

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

Vaginal Rejuvenation with Gore-Mycromesh

Can Female Genital Cosmetic Surgery Be Considered or Classified as Female Genital Mutilation Type IV?

Contact Info

Product

Resources

About