Vulvoplasty in New South Wales, 2001–2013: a population‐based record linkage study

Ampt, Amanda; Roach, Vijay; Roberts, Christine L.

doi:10.5694/mja16.00512

Cited by 12 publications

(5 citation statements)

References 51 publications

(178 reference statements)

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“…На сегодняшний день разработано несколько модификаций транспозиции уретры: экстравагинальная транспозиция уретры [18], транспозиция дистального отдела уретры [19], транспозиция меатуса [20]. В основе предложенных методов лежит отведение наружного отверстия мочеиспускательного канала от преддверия влагалища по направлению к клитору.…”

Section: Discussionunclassified

“…Наиболее часто встречались неспецифические воспалительные изменения нижних мочевыводящих путей, диспареуния и длительная боль в области послеоперационных ран. Каждая 23-я женщина нуждалась в повторном хирургическом вмешательстве вследствие плохой регенерации ран или неудовлетворенности результатами лечения [18].…”

Section: Discussionunclassified

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Minimally invasive combined surgical treatment of postcoital cystitis

Иноятов

Snurnitsyna

Lobanov

et al. 2020

Androl. genit. hir.

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Introduction. Urethral transposition remains the most popular operation for postcoital cystitis, however, traumatism and complications, especially such as pudendal neuropathies, dyspareunia and anorgasmia, make us continue to search for effective, but safer techniques.The study objective is to evaluate the efficacy and safety of the proposed treatment of postcoital cystitis, including removal of urethrogymenal adhesions and subsequent paraurethral filler implantation, in comparison with isolated hymenoplasty.Materials and methods. Since 2013, 75 patients with postcoital cystitis have been treated. Patients were divided into two groups: main group – hymenoplasty (removal of urethral adhesions) with paraurethral filler implantation (n = 45), control group – hymenoplasty (n = 30). The gel was injected paraurethrically, fan-shaped, in the volume of 1–2 ml, from a point on the 6-hour conditional dial, creating a gel cushion and thus raising the meautus and distal urethra. To assess the quality of treatment, profile questionnaires were used.Results. In the main group of patient, the quality of life improved in 35 (78 %); in 5 patients, due to the process of biodegradation of the gel during 1 year, the cystitis recidivated, which required the filler reimplantation. In 5 patients, the operation was not effective. In the control group the efficiency of isolated hymenoplasty was noted in 3 (10 %) patients, relapse of cystitis occurred in 27 (90 %) patients, which later required the implantation of a filler. No complications were observed.Conclusions. The suggested combined technique allows to improve the results of treatment of patients with postcoital cystitis. The operation does not carry the risk of damage to the sprigs of the genital nerve, can serve as an alternative to traditional urethral transposition. The main disadvantage is the natural biodegradation of the gel, which may create the need for its reintroduction.

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Section: Discussionunclassified

Minimally invasive combined surgical treatment of postcoital cystitis

Иноятов

Snurnitsyna

Lobanov

et al. 2020

Androl. genit. hir.

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“… 4 Younger generations were less likely to be comfortable discussing female genitalia compared with older women, 4 while another study reported that older women were more likely to use feminine deodorant spray and wet wipes. 54 This may seem dichotomous with the higher proportions of younger women having aesthetic procedures, for example vulvoplasty, 55 suggesting that younger women are more comfortable discussing intimate aesthetic procedures but not intimate health. However, this might stem from low genital self-image and dissatisfaction with female genitalia, often encountered by young women.…”

Section: Key Unmet Needs In Intimate Care and Hygiene Practicesmentioning

confidence: 99%

Maintaining vulvar, vaginal and perineal health: Clinical considerations

Graziottin

2024

Womens Health (Lond Engl)

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Knowledge of female genital anatomy and physiology is often inadequate or incorrect among women. Precise patient–physician conversations can be inhibited by a reluctance or inability to speak accurately about the vulva and vagina, with the terms often being used interchangeably. There is a paucity of scientific evidence and clinical guidelines to support women and physicians in ensuring best practices in feminine hygiene. In this review, the unmet needs in the field are highlighted. Evidence is provided for the complex array of physiological and pathological systems, mechanisms and behaviours that either protect or, if inappropriate, predispose the vulva and vagina to infections, irritation or other conditions. The need for attention to perineal health is recommended, given the interdependence of perineal and vulvar microbiota and the risk of colonic pathogens reaching the vulva and the vagina. Differences in feminine hygiene practices can vary widely across the world and among varying age groups, and suboptimal habits (such as vaginal douching or the use of certain cleansers) can be associated with increased risks of vulvar and vaginal conditions. Critical areas for discussion when advising women on their intimate health include: advice surrounding aesthetic vulvar cosmetic trends (such as depilation and genital cosmetic surgery), bowel health and habits, and protection against sexually transmitted infections. Routine, once-daily (maximum twice-daily) washing of the vulva with a pH-balanced, mild cleanser is optimal, ideally soon after bowel voiding, when feasible. Due to the finely balanced ecosystems of the vulva, the vagina and the perineal area, a scientific and clinical perspective is essential when determining the most appropriate vulvar cleansers based on their components. Correct intimate care may contribute to improved genital and sexual health and overall well-being. An increased awareness of correct practices will empower women to be the advocates of their own intimate health.

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“…Surgery as vaginoplasty and labioplasty carries the operative risk with significant recovery time; so, it is extremely undertaken for VVA 18–21 …”

Section: Introductionmentioning

confidence: 99%

Clinical evaluation of autologous platelet rich plasma injection in postmenopausal vulvovaginal atrophy: A pilot study

Saleh

Abdelghani

2022

J of Cosmetic Dermatology

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Background There is a lack of published data investigating injection of autologous platelet rich plasma (A‐PRP) alone in the treatment of postmenopausal VVA. Objectives In this pilot study, we aimed to investigate the safety and efficacy of injection of A‐PRP alone in postmenopausal VVA in women without the history of cancer breast to explore its utility as a hormone free therapy for postmenopausal VVA and for vulvovaginal rejuvenation. Methods In this pilot study, 47 women with postmenopausal VVA were included. Vulvovaginal condition was evaluated at the baseline by vaginal health index (VHI). Impact of VVA on quality of life and sexual life was evaluated at the baseline by vulvovaginal symptom questionnaire (VSQ). Treatment protocol was 2 sessions of A‐PRP injection with 1 month interval. Response was evaluated 1 month after the last session by VHI and VSQ. Side effects were also evaluated. Results Postmenopausal VVA was significantly improved by A‐PRP injection as indicated by significant improvement of total VHI score and its items at 1 month post‐treatment (p value <0.001). Moreover, there was significant improvement of burning, hurting, being irritated, being dry, discharge, desire to be intimate, sexual relationships, pain during sexual activity, and dryness during sexual activity at 1 month post‐treatment as indicated by VSQ (p value =0.045 for being dry and <0.001 for other items). Conclusions Autologous platelet rich plasma injection is safe and effective as minimally invasive monotherapy for postmenopausal VVA without history of cancer breast and hence for vulvovaginal rejuvenation.

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Vulvoplasty in New South Wales, 2001–2013: a population‐based record linkage study

Cited by 12 publications

References 51 publications

Minimally invasive combined surgical treatment of postcoital cystitis

Minimally invasive combined surgical treatment of postcoital cystitis

Maintaining vulvar, vaginal and perineal health: Clinical considerations

Clinical evaluation of autologous platelet rich plasma injection in postmenopausal vulvovaginal atrophy: A pilot study

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