Modified posterior perineoplasty in women

J Reprod Med. Mar-Apr 2015;60(3-4):109-16.


Objective: To determine the applicability of dorsal perineal membrane (DPM) and urethrovaginal sphincter muscle (UVSM) site-specific defect reconstructions. The secondary objective was to establish how these reconstructions affect women's physical, emotional, and social well-being.

Study design: An observational cohort study was conducted for 24 months on 3 patients. Clinical examinations with pelvic organ prolapse quantification panel, validated instruments of the Pain Numeric Scale, the Modified Body Image Scale (M-BIS), and the Female Sexual Function Index (FSFI) were applied preoperatively and 6 months postoperatively.

Results: Intraoperatively the DPM and the UVSM site-specific defects were identified and their reconstructions were performed without surgical complications. Postoperatively, symptoms have subsided, perineal body and genital hiatus returned to expected limits, FSFI increased, and M-BIS improved.

Conclusion: In this study group, modified posterior perineoplasty was applied with ease and the operation alleviated physical, emotional, and social symptoms associated with posterior perineum defects.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Cohort Studies
  • Dyspareunia / etiology
  • Dyspareunia / surgery
  • Esthetics
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Muscle, Skeletal / surgery
  • Pain Measurement
  • Patient Satisfaction
  • Pelvic Organ Prolapse / surgery
  • Perineum / injuries
  • Perineum / surgery*