Abstract
Many multiparous women complain of protruded and pendulous abdomens and vaginal outlet relaxation which affect their sexual relationships with their male partners. This study included 47 patients who had these complaints. Some of these patients were working outside the homes and all were mothers of 2–5 children. Due of their home and job responsibilities, they did not have enough time or money for multiple surgeries in more than one session.Material and Methods:The age of these patients was 26–54 years and all patients had poor skin elasticity, pendulous excess subcutaneous fat and skin below the level of the anterior vulvar commissure, and a lax musculoaponeurotic anterior abdominal wall. Also, all patients had a relaxed vaginal outlet and 32 patients had rectocele. Careful perioperative assessment and management was done for each patient to ensure fitness for the long operation and to avoid complications. The combined surgical session consisted of two steps: abdominoplasty and posterior vaginal repair. All the patients were kept in the hospital for two days and they returned to their usual routines in the third week after surgery, and they resumed their sexual relationships with their male partners in the sixth week after surgery.Results:There were no serious complications and this approach was convenient for the patients and their families. The recovery time of the combined surgical session was the same as that of just abdominoplasty, and significantly less than the sum of the recovery periods if the two surgeries had been performed in two sessions. The cost of the combined surgical session was significantly less than doing the surgeries in two sessions. All the patients had significant improvement in their sexual relationships.
Highlights
In the past, abdominoplasty has been combined safely and effectively with other elective surgeries such as liposuction, mammoplasty, abdominal hysterectomy, and cholecystectomy.[1,2,3,4] it has not been reported in combination with posterior vaginal repair
Many multiparous women complain of protruded and pendulous abdomens and relaxed vaginal outlets that affect their sexual relationships with their male partners
Many multiparous women complain of problems in the sexual relationships with their male partners due to the effects of childbirth and age, leading to a combination of protruded and pendulous abdomens affecting intercourse performance and laxity of the vaginal outlet which affect sexual satisfaction
Summary
Abdominoplasty has been combined safely and effectively with other elective surgeries such as liposuction, mammoplasty, abdominal hysterectomy, and cholecystectomy.[1,2,3,4] it has not been reported in combination with posterior vaginal repair. Many multiparous women complain of protruded and pendulous abdomens and relaxed vaginal outlets that affect their sexual relationships with their male partners. These combined complaints have been typically treated by performing abdominoplasty in one session and posterior vaginal repair in another session. As both these surgeries are considered of low priorities in public hospitals, patients usually undergo these surgeries in private hospitals. Performing these two operations in two different sessions costs the patients and their families a lot of money and time. A solution for this problem was sought through team work between a plastic surgeon and a gynaecologist
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
