Novel surgical vaginal rejuvenation technique involving cosmetic reconstruction of the vaginal outlet.

Abstract

Objectives: Vaginal rejuvenation surgery became increasingly popular due to evolving societal perceptions, aiming to address both aesthetic concerns and female sexual dysfunction (FSD). This prospective cohort study aimed to investigate a novel approach aimed at preserving clitoral function while reconstructing the perineum in vaginal rejuvenation surgery, elucidate its procedural intricacies, evaluate short-term surgical outcomes, and assess changes in female sexual function and satisfaction postoperatively, using validated scoring systems, the Female Sexual Function Index (FSFI) and Sexual Satisfaction Scale for Women (SSS-W).

Material and methods: Fifty sexually active patients undergoing elective female cosmetic genital surgery were included. Demographic data and surgical procedures were documented. Preoperative and postoperative 6th-month FSFI and SSS-W scores were collected. The Shapiro-Wilk, McNemar chi-square, and Wilcoxon tests were employed to evaluate the statistical outcomes.

Results: Significant improvements were observed in FSFI domains, particularly in satisfaction (p < 0.001), pain (p < 0.001), and overall sexual function (p = 0.002) postoperatively. Patients with preoperative FSD demonstrated significant improvements in the arousal (p = 0.014), satisfaction (p < 0.001), and pain (p < 0.001) domains, as well as overall sexual function (p < 0.001). Notably, desire (p = 0.006), lubrication (p = 0.010), orgasm (p = 0.035), and satisfaction (p < 0.001) domains improved significantly in patients without preoperative FSD. Sexual Satisfaction Scale for Women questionnaire results corroborated these findings, showing significant enhancements in various domains of sexual satisfaction postoperatively.

Conclusions: Vaginal rejuvenation surgery shows promise in enhancing female sexual function and satisfaction. However, it is crucial to recognize that FSD is a multifaceted disease, influenced by a range of physiological, psychological, and social factors that extend beyond the scope of a single surgical intervention.