Novel surgical vaginal rejuvenation technique involving cosmetic reconstruction of the vaginal outlet.

OBJECTIVES

Vaginal rejuvenation surgery became increasingly popular due to evolving societal perceptions, aiming to address both aesthetic concerns and female sexual dysfunction (FSD). This prospective cohort study aimed to investigate a novel approach aimed at preserving clitoral function while reconstructing the perineum in vaginal rejuvenation surgery, elucidate its procedural intricacies, evaluate short-term surgical outcomes, and assess changes in female sexual function and satisfaction postoperatively, using validated scoring systems, the Female Sexual Function Index (FSFI) and Sexual Satisfaction Scale for Women (SSS-W).

MATERIAL AND

METHODS

Fifty sexually active patients undergoing elective female cosmetic genital surgery were included. Demographic data and surgical procedures were documented. Preoperative and postoperative 6th-month FSFI and SSS-W scores were collected. The Shapiro-Wilk, McNemar chi-square, and Wilcoxon tests were employed to evaluate the statistical outcomes.

RESULTS

Significant improvements were observed in FSFI domains, particularly in satisfaction (p < 0.001), pain (p < 0.001), and overall sexual function (p = 0.002) postoperatively. Patients with preoperative FSD demonstrated significant improvements in the arousal (p = 0.014), satisfaction (p < 0.001), and pain (p < 0.001) domains, as well as overall sexual function (p < 0.001). Notably, desire (p = 0.006), lubrication (p = 0.010), orgasm (p = 0.035), and satisfaction (p < 0.001) domains improved significantly in patients without preoperative FSD. Sexual Satisfaction Scale for Women questionnaire results corroborated these findings, showing significant enhancements in various domains of sexual satisfaction postoperatively.

CONCLUSIONS

Vaginal rejuvenation surgery shows promise in enhancing female sexual function and satisfaction. However, it is crucial to recognize that FSD is a multifaceted disease, influenced by a range of physiological, psychological, and social factors that extend beyond the scope of a single surgical intervention.