70 patients made colpoperineorrhaphy with levatoroplastics with strengthening vesicovaginal fascia by the method of Boom, 10 "The Manchester operation.
Front colporraphy, back colpoperineorrhaphy with 40 50 levatoroplastics and sterilization by Pomeroy transvaginal access Hysterotrachelectomy with transfer the vaults and 10 12.
Some surgical procedures such as posterior colpoperineorrhaphy, colpoperineoplasty, or perineorrhaphy can be useful to solve this problem 6].
on 53 women who underwent colpoperineorrhaphy because of wide vagina showed that after six months, 94% of women experienced tighter vagina and they could achieve orgasm and only two patients regretted the surgery .
In a retrospective observational study to assess the effect of fascial posterior colpoperineorrhaphy over the five-year period, results showed that vaginal pain, dyspareunia, and vaginal laxity were all significantly reduced; however, there was no significant difference in sexual activity .
After colpoperineorrhaphy, dyspareunia may happen due to the narrowing of the vagina .
in which 34 women underwent posterior colpoperineorrhaphy and followed 41 months, the results showed that vaginal pain, dyspareunia, and vaginal laxity were all significantly reduced .
Depending on the aggressiveness of the repair, approximately 15% of patients may experience some discomfort with intercourse after a colpoperineorrhaphy.
Often, at the end of a long reconstructive case, the relative importance of a good colpoperineorrhaphy can be hard to appreciate.
For reference, a full description of the normal vaginal axis and its vital role in good pelvic support can be found in my chapter on colpoperineorrhaphy
in the ninth edition of TeLinde's Operative Gynecology (Philadelphia: Lippincott Williams & Wilkins, 2003, p.