Abstract
We thank Dr. Santucci1 for his interest in our work. We agree that meticulous patient selection and preoperative counseling is critical to the success of any revision surgery. When we evaluate patients for vaginal stenosis or loss of depth, a detailed history and physical examination is critical in parsing out introital stenosis, versus a true loss of vaginal vault domain. In our experience, patients with loss of depth often report infrequent dilation or have ceased dilating. Owing to the potentially high rates of concurrent pelvic floor dysfunction in patients undergoing revision vaginoplasty, we routinely refer patients with vaginal stenosis for pelvic floor physical therapy (PFPT) and to increase the frequency of dilation.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.