Objectives: Aim of these procedures are treatment of vaginal laxity, mild urinary leakage and sexual orgasmic disorders especially due to vaginal deliveries and/or aging process. We performed two different procedures for these aims; Intravaginal thread applications (VTT-L, VTT-C, PuTL) and filler injection to the posterior wall of vagina, over the perineal body ( I-TONGUE).
Introduction: Most of the problems after childbirth are related with vaginal laxity and pelvic floor relaxation. Sexual deficiency and SUI are caused by these clinical entities. There are studies in literature about treating sexual deficiencies and SUI, but most of them were related with surgery. Although the surgery can have disadvantages and some complications, surgical treatments are still common preferable.
Materials / method: İntroital Tongue is an injection technique for patients who have sexual deficiency due to high orgasmic threshold. 21mg/gr cross-linked HA + Mannitol was injected into vaginal mucosa, over the perineal body. Thread applications are based on insertion of COGs into vaginal mucosa longitudinaly VTT-L or circularly VTT-C. PUTL is a semi-circular application for SUI. COGs are 0-1 USP, 7 or 43cm length, bidirectional barbed, moulding PDO. We evaluated the patients with FSFI, Oxford Scale, 5 Points Likert Scale and Micturation Diary.
Results: We found acceptable results in all the questionnaries we used. We got increasing rates in FSFI especially in orgasmic subscoring (Mean : %50 (18 point) for VTT-C, %36 (13 point) for VTT-L, %47 (17 point) for INTROITAL TONGUE) Most of the patients declerated the results as good or very good in 5 Points Likert Scales and Oxford Scales are found 1 or 2 steps higher than before in the group who has the complaint of sexual deficiency mostly due to high orgasmic threshold. Patients who have mild SUI reported %70 of improvement for amount and period of leakage in their micturation diaries.
Conclusion: Although we don’t have enough number of patients and long term follow-ups, all questionnaries showed us that we can get acceptable results with the proper indications. However, we need wide study series and long term follow-ups to excatly say that they are working. But we believe that these kind of minimal invasive procedures will become more suitable and common-used in truely choosen patients.
Declaraciones
¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No
¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No
¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
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¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
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Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.