DILATATION OF IATROGENIC VAGINAL STENOSIS WITH AN ABSORBABLE OXIDIZED REGENERATED CELLULOSE
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 2
Abstract
OBJECTIVE: Iatrogenic vaginal stenosis adversely affects the sexual life of couples. The definitive treatment of this condition is possible by redilatation of vagina. This study aims to investigate the outcomes of vaginal dilatation procedure performed using an absorbable oxidized regenerated cellulose. MATERIAL AND METHODS: 29 patients who could not have intercourse due to Iatrogenic vaginal stenosis underwent vagina enlargement surgery using an absorbable oxidized regenerated cellulose in the period of April 2014 to August 2020. The results were analysed with the help of the standard ‘Patient Global Impression of Improvement Scale (PGI-I) which evaluates patient satisfaction in particular. RESULTS: The mean follow-up period was 16 monts (14 - 24 months). No major perioperative complication was detected except from perianal hemotoma treated with antibiotics and drainage in a case. At 6th month follow up visit, 27 patients reported pain free sexual intercourse. Two patients needed re-dilatation 4 and 6 months later respectively.Based on the scores of patients as “much better ‘’and ‘’very much better” on the PGI-I scale, satisfaction rate was 93% at 6th month follow up visit. CONCLUSIONS: Vaginal dilatation surgery with absorbable oxidized regenerated cellulose seems to be a safe and effective procedure with positive anatomical and functional results. However, many comparative studies are needed to fully the efficiency and safety of this procedure.
Authors and Affiliations
Adeviye ELÇİ ATILGAN, Ali ACAR, Fedi ERCAN, Şükriye Leyla ALTUNTAŞ, Yunus Emre PURUT
Keywords
Related Articles
- EP ID EP702629
- DOI https://doi.org/10.18229/kocatepetip.839261
- Views 93
- Downloads 0
DETERMINING SPOT URINE PROTEIN / CREATININE RATIO SENSITIVITY IN THE DIAGNOSIS OF PREECLAMPSIA WITH VARIABLES SUCH AS URINE SAMPLING TIME AND WAITING TIME
OBJECTIVE: The present study aims to compare the success of spot urine protein/creatinine ratio in predicting 24-h proteinuria with different variables such as urine sampling time and urine wait time before analysis. MA...
THE RELATIONSHIP BETWEEN ARTERIAL STIFFNESS AND DISEASE SEVERITY IN PATIENTS WHO HAVE HAD COVID-19
OBJECTIVE: Endothelial dysfunction plays an important role in the pathogenesis of target organ damage associated with COVID-19. In patients with COVID-19, cardiovascular (CV) complications due to strong inflammatory dama...
EFFECT OF PATENCY OF AUTOLOGICAL VEINS ON QUALITY OF LIFE IN HEMODIALYSIS PATIENTS
OBJECTIVE: Life expectancy and quality of life in hemodialysis patients are directly proportional to the effective use of the vascular access way. Complications in arteriovenous fistulas are related to morbidity. The aim...
HYPOGLYCEMIA IN NON-DIABETIC PATIENTS
Glucose is the main substance used by the brain, and as such, multiple regulatory mechanisms exist to maintain glucose concentrations. The main regulatory mechanisms are cessation of insulin secretion the stimulation of...
EVALUATION OF PATIENTS PRESENTING WITH THE COMPLAINT OF HEMOPTYSIS
OBJECTIVE: Hemoptysis is the expectoration of blood originating from the pulmonary or bronchial vascular system. Hemoptysis is most commonly seen in lung cancers, tuberculosis and bronchiectasis. Also it can be an import...