Abstract
ObjectiveThe number of vaginal rejuvenation procedures for improvement of sexual function is dramatically increasing worldwide. The objective of this study was to present our experience with women who presented to our clinic with the complaint of sexual dysfunction or desire to enhance sexual function or orgasm.MethodsDemographic and descriptive data of the patients were evaluated. In addition, sexual dysfunction of the patients who underwent vaginoplasty in our center were evaluated before and after vaginoplasty procedure using Golombok Rust Inventory of Sexual Satisfaction (GRISS) scale and the scores were compared before and after the procedure, which is used in the evaluation of sexual dysfunction by relationship counsellors and clinics.ResultsA total of 250 women who described a sensation of a wide or floppy vagina with lost or decreased ability to achieve orgasm were included in the study. The mean age of the patients was 38.51±9.126 years. Of all women, 85.2% were college graduates. A history of normal vaginal delivery was found in 77.8% of the participants. The mean GRISS scores of “Infrequency”, “Non-communication”, “Dissatisfaction”, “Non-sensuality”, “Avoidance”, “Anorgasmia” and “overall GRISS” scores were statistically significantly decreased, while the mean vaginismus score was significantly increased (p<0.01).ConclusionHighly satisfying outcomes regarding patient satisfaction were obtained from vaginoplasty procedures that we have performed.
Highlights
Sexuality and sexual activity are important determinants of quality of life (QoL) and life satisfaction
Sexual dysfunction of the patients who underwent vaginoplasty in our center were evaluated before and after vaginoplasty procedure using Golombok Rust Inventory of Sexual Satisfaction (GRISS) scale and the scores were compared before and after the procedure, which is used in the evaluation of sexual dysfunction by relationship counsellors and clinics
Patients using drugs affecting sexual function, those with symptomatic prolapsus, rectocele or uterine prolapsus, patients with dyspareunia, primary anorgasmia or any psychological disorder, those with partner’s sexual dysfunction, a history of pelvic surgery, those receiving radiotherapy for vaginal or cervical cancer, patients with chronic vaginal infections, those without intact pelvic floor support and who denied participation were excluded from the study
Summary
Sexuality and sexual activity are important determinants of quality of life (QoL) and life satisfaction. Female sexual functioning is influenced by previous vaginal delivery, ageing, genetic factors, relationships with the partner and other psychosocial factors. These factors may cause several disorders ranging from sexual dissatisfaction to actual deviation. Women with a history of vaginal delivery, and especially multiparous women may complain of alterations in sexual satisfaction, decreased friction during intercourse, changes in vaginal sensation and a general feeling of laxity [3,4,5]. Women usually complain of the gaping of the vaginal vestibule that causes the appearance of vaginal mucosa [6] This gaping leads to several functional concerns such as increased vaginal secretions due to mucosa exposure, alterations in achieving orgasm and vaginal air entrapment, which causes embarrassing sounds during intercourse [7]
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