TY - JOUR TT - Assessment of the Effects of Perineoplasty on Female Sexual Function AU - İnan, Cihan AU - Ağır, Meriç Çağrı AU - Sağır, Fulya Gökdağlı AU - Özer, Atınç AU - Özbek, Özlem AU - Dayanır, Hakan AU - Uysal, Gökçe Saygı AU - Uysal, Onur PY - 2015 DA - July JF - Balkan Medical Journal PB - Trakya University WT - DergiPark SN - 2146-3123 SP - 260 EP - 265 VL - 32 IS - 3 KW - Female KW - perineoplasty KW - sexual dysfunction N2 - Background: The scar tissue formed by episiotomy during vaginal delivery, and the related pain, is very frequent. The change in the normal anatomy can cause cosmetic and physiologic problems. It can affect and cause deterioration in sexual functions. Therefore, making the right diagnosis and applying the right surgical procedures are very important. Aims: Our aim was to examine the effect of the perineoplasty operation on the sexual dysfunctions that present due to vaginal delivery. Study Design: Self-controlled study. Methods: Forty patients, who attended our clinic between April 2012 and May 2013, and who were between the ages of 20 and 50 years, were included in the study. The patients had complaints of scar tissue in the perineum and various sexual dysfunctions after vaginal delivery, and they were suitable for perineoplasty. The Female Sexual Function Index (FSFI) questionnaire was applied to the patients before and 6 months after the operation, and the results were compared. Results: After the perineoplasty operation, there was a statistically significant improvement in the patients in the domains of sexual desire, arousal, lubrication, orgasm, and sexual satisfaction (p<0.005). However, there was no significant improvement in the feeling of pain during sexual intercourse (p=0.184). The mean±SD total FSFI score increased significantly after the operation (p<0.005). Conclusion: The sexual dysfunctions that develop due to perineal damage during vaginal delivery can benefit significantly from the perineoplasty operation if the indications are correct. However, vaginal perineoplasty did not provide an improvement in dyspareunia. CR - 1. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208. [CrossRef] CR - 2. Glazener CM. Sexual function after childbirth: women’s experiences, persistent morbidity and lack of professional recognition. Brit J Obstet Gynaecol 1997;104:330-5. [CrossRef] CR - 3. Dobbeleir JM, Landuyt KV, Monstrey SJ. Aesthetic surgery of the female genitalia. Semin Plast Surg 2011;25:130-41. [CrossRef] CR - 4. Goodman MP. Female cosmetic genital surgery. Obstet Gynecol 2009;113:154-9. [CrossRef] CR - 5. Woodruff JD, Genadry R, Poliakoff S. Treatment of dyspareunia and vaginal outlet distortions by perineoplasty. Obstet Gynecol 1981;57:750-4. CR - 6. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cut-off scores. J Sex Marital Ther 2005;31:1-20. [CrossRef] CR - 7. Oksuz E, Malhan S. Reliability and validity of the female sexual function index in Turkish population. Sendrom 2005;17:54-60. CR - 8. Goodman MP, Placik OJ, Benson RH, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med 2010;7:1565-77. [CrossRef] CR - 9. Committee on Gynecologic Practice, American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 378: Vaginal “rejuvenation” and cosmetic vaginal procedures. Obstet Gynecol 2007;110:737-8. [CrossRef] CR - 10. Kahn MA, Stanton SL. Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 1997;104:82- 6. [CrossRef] CR - 11. Rouzier R, Haddad B, Deyrolle C, Pelisse M, Moyal-Barracco M, Paniel BJ. Perineoplasty for the treatment of introital stenosis related to vulvar lichen sclerosus. Am J Obstet Gynecol 2002;186:49-52. [CrossRef] CR - 12. Kennedy CM, Dewdney S, Galask RP. Vulvar granuloma fissuratum: a description of fissuring of the posterior fourchette and the repair. Obstet Gynecol 2005;105:1018-23. [CrossRef] CR - 13. Woodward AP, Matthews CA. Outcomes of revision perineoplasty for persistent postpartum dyspareunia. Female Pelvic Med Reconstr Surg 2010;16:135-9. [CrossRef] CR - 14. Berman JR. Physiology of female sexual function and dysfunction. Int J Impot Res 2005;17:44-51. [CrossRef] UR - https://dergipark.org.tr/en/pub/bmj/article/501636 L1 - https://dergipark.org.tr/en/download/article-file/605143 ER -