ORIGINAL ARTICLE Colpoperineoplasty in women with a sensation of a wide vagina

Background. In women complaining of a wide vagina and decreased sexual satisfaction we performed colporrhaphy including perineoplasty in most cases. Methods. Between November 2003 and October 2004, a total of 53 patients were selected for operation at the Urogynecology and Vaginal Surgery Unit, Las Condes Clinic, Chile. The patients were requested to assess the results of surgery in terms of experienced vaginal tightening and regained or enhanced sexual satisfaction. Results. Six months after surgery, 94 % experienced a tighter vagina and said they were able to achieve orgasm. Expectations were fulfilled in 74%, partially fulfilled in 21%, and not met in 5%. Only two patients (4%) regretted surgery, and two patients had minor surgical complications. Conclusion. In a selected group of women with acquired sensation of a wide vagina, colporrhaphy seems to improve symptoms and enhance sexual gratification in a majority of the women. A controlled trial with a longer follow-up is needed for a proper evaluation. Key words: Colporrhaphy, wide vagina, vaginal relaxation, female sexual dysfunction Traditionally, colporrhaphy is a surgical procedure to correct genital prolapse. An abnormal or subjec-tively wide vagina may be associated with sexual dysfunction, and recently some gynecologists have performed colporrhaphy on patients with a sensation of a wide vagina who had lost the ability to experience orgasms as the main symptom. To the best of our knowledge the result of colporrhaphy in these patients has not been published. The aim of this study was to report our preliminary experience in this area, and the results in terms of general acceptability and satisfaction, and whether the procedure enhanced the sensation of vaginal tight-ness and sexual gratification reported by the woman. Patients and method