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Simple posterior vestibuloplasty for central introital dyspareunia

机译:单纯性后庭前庭球囊成形术治疗中枢性消化不良

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The aim of this study is the evaluation of a simple surgical widening plasty of the posterior vestibulum for central introital dyspareunia. This study takes place in gynecological infectious diseases clinic in secondary and tertiary care centers. The subjects are one hundred forty-five consecutive patients with introital pain during or when attempting sexual intercourse. One-digit examination of the posterior hymenal rim of the vulva elicits the specific pain and clinical examination reveals nothing abnormal or only focal redness on the central posterior vestibulum. This condition should be clearly differentiated from the focal-provoked vestibulodynia, although mixed forms are frequent. A questionnaire was composed to assess the level of pain experienced during intercourse and of satisfaction of their sexual life in general at 1 to 3 years after the intervention. After a mean of 3 years, 90% of the patients were very satisfied with the improvement of the sexual health due to the intervention. Eighty percent had less pain during intercourse. The proportion of patients forced to interrupt sexual intercourse because of pain dropped from 64% to 26% (p 0.0001). The number of women only having infrequent intercourse (once a month or less) decreased more than fourfold and the mean number of occasions that sexual intercourse took place increased by 27% after the intervention. Simple surgical widening plasty of the posterior vestibulum without excision of tissue led to a significant improvement of the sex life of at least 80% of a group of women with primary and secondary central introital dyspareunia of any cause. Correct and specific diagnosis is crucial prior to any intervention.
机译:这项研究的目的是评估后庭前庭的简单外科手术加宽整形术治疗中枢性口交困难。这项研究在二级和三级护理中心的妇科传染病诊所进行。受试者是一百四十五名在性交期间或进行性交时连续出现肠胃痛的患者。对外阴后部处女膜边缘的一位检查会引起特定的疼痛,临床检查未发现中部后前庭有异常或仅出现局部发红。尽管混合形式很常见,但这种情况应与原发性前庭性运动障碍明显区分开。组成一份调查问卷,以评估干预后1至3年的性交时疼痛程度以及他们对性生活的满意度。平均3年后,由于干预,90%的患者对性健康的改善非常满意。 80%的人在性交时疼痛减轻。因疼痛而被迫中断性交的患者比例从64%降至26%(p <0.0001)。仅很少性交(每月一次或少于一次)的妇女人数减少了四倍多,干预后发生性行为的平均次数增加了27%。在没有任何组织切除的情况下,通过简单的后庭前庭手术加宽整形术可以显着改善至少80%的任何原因的原发性和继发性中枢性口交困难的女性的性生活。在进行任何干预之前,正确而具体的诊断至关重要。

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