Double Opposing Zplasty with VY Advancement of the perineum: Long-term results of a new technique as an alternative to Fenton's operation for narrowing and splitting of the skin at the posterior vaginal fourchette. (April 2018)

• Record Type: Journal Article
• Authors: Frappell, Jonathan; Riadin, Lia; Ebeid, Elhami; Asmussen, Tilo; Morris, Robert
• Is Part Of: European journal of obstetrics, gynecology, and reproductive biology. Volume 223(2018)
• Page Start: 46
• Page End: 49
• Publication Date: 2018-04
• Subjects: Fenton's operation -- Z plasty -- Plymouth procedure; Obstetrics -- Periodicals; Gynecology -- Periodicals; Reproductive health -- Periodicals; Gynecology -- Periodicals; Obstetrics -- Periodicals; Reproduction -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; Reproduction -- Périodiques; Verloskunde; Gynaecologie; Voortplanting (biologie); Gynecology; Obstetrics; Reproduction; Electronic journals; Periodicals; Electronic journals; 618.05
• DOI: 10.1016/j.ejogrb.2018.02.003
• Languages: English
• ISSNs: 0301-2115

Abstract

Abstract: Objective: To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton's procedure. Study design: A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec. 2013. The main outcome measure was the change in sexual satisfaction scores, using a visual analogue scale, before and after the procedure. Results: There was a statistically significant improvement in sexual satisfaction scores in the majority of patients. This was particularly marked in patients who had previously undergone an unsuccessful Fenton's operation. Conclusions: Double opposing Z plasty with VY advancement of the perineum (The Plymouth Procedure)should be offered to all patients in whom Fenton's operation has been unsuccessful, and considered as an alternative to Fenton's as a primary procedure.