DILATATION OF IATROGENIC VAGINAL STENOSIS WITH AN ABSORBABLE OXIDIZED REGENERATED CELLULOSE

Abstract

OBJECTIVE: Iatrogenic vaginal stenosis adversely affects the sexual life of couples. The definitive treatment of this condition is possible by redilatation of vagina. This study aims to investigate the outcomes of vaginal dilatation procedure performed using an absorbable oxidized regenerated cellulose.MATERIAL AND METHODS: 29 patients who could not have intercourse due to Iatrogenic vaginal stenosis underwent vagina enlargement surgery using an absorbable oxidized regenerated cellulose in the period of April 2014 to August 2020. The results were analysed with the help of the standard ‘Patient Global Impression of Improvement Scale (PGI-I) which evaluates patient satisfaction in particular.RESULTS: The mean follow-up period was 16 monts (14 - 24 months). No major perioperative complication was detected except from perianal hemotoma treated with antibiotics and drainage in a case. At 6th month follow up visit, 27 patients reported pain free sexual intercourse. Two patients needed re-dilatation 4 and 6 months later respectively.Based on the scores of patients as “much better ‘’and ‘’very much better” on the PGI-I scale, satisfaction rate was 93% at 6th month follow up visit.CONCLUSIONS: Vaginal dilatation surgery with absorbable oxidized regenerated cellulose seems to be a safe and effective procedure with positive anatomical and functional results. However, many comparative studies a