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Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus. [1] [2] [3] Among the vagino-anal conditions resolved by perineoplasty are vaginal looseness, vaginal itching, damaged perineum, fecal incontinence, genital warts, dyspareunia, vaginal stenosis, vaginismus, vulvar vestibulitis ...
Colporrhaphy (also vaginal wall repair, anterior and/or posterior colporrhaphy, anterior and/or posterior vaginal wall repair, or simply A/P repair or A&P repair) is a surgical procedure in women that repairs a defect in the wall of the vagina.
In vaginoplasty repairs, a modified anterior and/or high posterior colporrhaphy and/or the excision of lateral vaginal mucosa are used to remove sections of the mucosa from the vaginal fornices. [21] The goal of this procedure is to tighten a rather lax upper vagina. [21]
Posterior colporrhaphy is one surgical option for enterocele. [4] Surgical repair of enterocele may not improve constipation. [10] Laparoscopic ventral mesh rectopexy has successfully been used to treat enterocele. [11] [16] This may be a combined procedure (sacrocolpopexy), [12] if there is also prolapse of the middle compartment.
Rectoceles, in which the anterior wall of the rectum protrudes into the posterior wall of the vagina, require posterior colporrhaphy, also known as repair of the vaginal wall. [29] Though pelvic floor dysfunction is more common in women, there are also proven methods to assist men.
A partial vaginectomy removes only the outer most layers of tissue and is performed if the abnormal cells are only found at the skin level. For example, individuals with rectal cancer that has spread to vaginal tissue may undergo a partial vaginectomy in which the posterior wall of the vagina near the anus is removed.
Cul-de-sac hernia (peritoneocele / omentocele) may appear on fluoroscopic defecography as an un-opacified mass which deforms the anterior border of the rectum and the posterior border of the vagina, with widening of the recto-vaginal space in between. [1] On magnetic resonance defecography, the vagina and rectum may appear clearly "splayed ...
For posterior vaginal repair, the use of mesh or graft material does not seem to provide any benefits. [ 14 ] Compared to native tissue repair, transvaginal permanent mesh likely reduces the perception of vaginal prolapse sensation, the risk of recurrent prolapse, and of having repeat surgery specifically only for prolapse.