It has been suggested that estrogen may be responsible for edema of perivaginal
tissues and relaxation of pelvic ligaments as well as relaxation of vulvar and perivulvar musculature which may be combined with an inherited weakness of the perivaginal
tissues (Gouletsou et al.
2011, Potter 2008), fixation of perivaginal
tissue (Noordsy, 1994) and also by application of truss (Dharani et al.
Traditional colpocleisis closes the urogenital hiatus without specifically identifying the perivaginal
endopelvic fascial septa, while using some degree of vaginectomy.
Skin condition Genital atrophy Pelvic organ prolapse Pelvic masses Perivaginal
muscle tone Other abnormalities.