Sphincteroplasty and perineoplasty
with skin advancement flap in management of traumatic cloacal defect.
A horizontal dissection was made on the perineum, levator ani muscle was held from bilateral pararectal region, and perineoplasty
was performed by enhancing puborectal muscle (levator ani) medial part fixation.
The 24% cure rate and 19% improvement rate in these patients treated at a single specialty center shows that interferon therapy is a cost-effective approach to try before resorting to perineoplasty
, she said.
It is usually carried out along with perineoplasty
and paravaginal repair,with or without an anterior colporrhaphy,to adress patient concerns of having a large or loose vagina.
When constriction extends distally, the procedure used is, basically, a reverse perineoplasty
: Cut the constriction band longitudinally, undermine the vagina, and then sew it back transversely.
Liu does indeed perform perineoplasty
on many of his prolapse patients.
The success rate in this preliminary trial compares favorably with resolution of symptoms after cryotherapy (48%), perineoplasty
(56%-80%), laser biopsy (7%-63%), and other invasive treatments used in previous studies, she said.
Moreover, the single incision allows access to anal sphincter muscles and the perineal muscles for a perineoplasty
, which improves support and thickness of the perineal body.
Of the 81 patients who did not respond within 6 months to conservative treatment, 56 agreed to undergo vulvar vestibulectomy with perineoplasty
. A crucial part of the operation was to completely remove all the major and minor vestibular glands, which can harbor adenomas.
He and his associates reviewed the charts of 39 women with primary vulvar vestibulitis and 72 women with secondary vestibulitis who had undergone a modified excisional perineoplasty
The lichenoid processes, found in 72% of 56 women who required vulvar vestibulectomy with perineoplasty
, were not obvious and required a biopsy to diagnose.