Introduction: Vaginismus is defined as recurrent or
persistent involuntary spasm of the musculature of the lower third of the
vagina, which interferes with coitus resulting in matrimonial disharmony.
Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual
or imagined negative experiences with penetration. There are many methods
described for the management of the condition. But most of times all methods
fail to treat such patients. We have developed a newer approach for management
of this condition in which spasmodic muscles are incised and resultant defect
is resurfaced with Labia Minora Flaps.
Materials and Methods: We have treated fourteen females who were married more
than 5 years before and had undergone all types of treatment without success.
Patients were operated in general anaesthesia without muscle relaxation. The
peri-vaginal examination was done when a severe grip on the examining finger
was felt. The mucosa was incised at the rim at 8 and 4’O clock about 2 cm long
extending from vaginal mucosa to vestibular mucosa exposing the peri-vaginal
muscles which were incised till the constriction ring disappeared.
Results: All of the females could initiate sexual intercourse within 3 weeks of
surgery.
Conclusion: Incision of spasmodic muscles and resurfacing with labia minora
flaps is one of good option if other treatment had failed, for management of
vaginismus.
Author(s) Details:
Vishwa Prakash,
Department of Plastic Surgery, Safdarjung Hospital, India.
Neeta
Garg,
Centre
for Female Genital Reconstruction, Indirapurum, Ghaziabad, India.
Please see the link here: https://stm.bookpi.org/ANUMS-V9/article/view/13621
No comments:
Post a Comment