A New Reconstructive Technique for Posterior Vaginal Wall Defects, a Case Report. (24th January 2013)

• Record Type: Journal Article
• Authors: Zetlitz, Elisabeth; Manook, Miriam; MacLeod, Alison; Hamilton, Stuart
• Is Part Of: Journal of sexual medicine. Volume 10:Number 10(2013:Oct.)
• Page Start: 2579
• Page End: 2581
• Publication Date: 2013-01-24
• Subjects: Sexual disorders -- Periodicals; Sex -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1111/jsm.12056
• Languages: English
• ISSNs: 1743-6095

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jsm12056-sec-0001" sec-type="section"> <title>Introduction</title> <p>Post‐partum vaginal laxity is a problem encountered by many women. More uncommon is a resulting vaginal defect. In most cases of laxity, a period of extensive physiotherapy can strengthen the pelvic muscles enough for symptoms to be minimized. However, this is not the case once there is a tissue defect.</p> </sec> <sec id="jsm12056-sec-0002" sec-type="section"> <title>Aim</title> <p>To present a new reconstructive method for patients with posterior vaginal wall defects.</p> </sec> <sec id="jsm12056-sec-0003" sec-type="section"> <title>Methods</title> <p>We present a case of a 38‐year‐old female who, 12 years prior to presentation, had a vaginal delivery. Due to complications during the delivery, she sustained pelvic trauma and developed a posterior vaginal wall defect. She had a sizable soft tissue defect, causing sexual, urinary, and confidence problems. Fat was harvested from the patient's abdomen and injected into the defect after more conservative treatment options were exhausted.</p> </sec> <sec id="jsm12056-sec-0004" sec-type="section"> <title>Results</title> <p>The defect was corrected successfully using the minimally invasive Coleman fat grafting technique.</p> </sec> <sec id="jsm12056-sec-0005" sec-type="section"> <title>Discussion/Conclusion</title> <p>This is to our knowledge the first case in the literature where a posterior vaginal defect has been corrected using Coleman fat grafting, and we believe that this treatment method may be of benefit to more patients. <bold>Zetlitz E, Manook M, MacLeod A, and Hamilton S. A new reconstructive technique for posteriorvaginal wall defects, a case report. J Sex Med 2013;10:2579–2581.</bold></p> </sec> </abstract>