Objectives: Bad Scars is the most obvious complication patients could have after any surgical procedure. This comes to be very critical when it has to do with the general area and even more critical in female genital surgery. The multi task organs in that area could be affected or even seriously damaged if a wrong technique have been used. Our main objective here is to show the professionals involved in this topic how to deal with eliminating the scars during surgeries. Also how to deal with existing scars after bad surgeries.

Introduction: Comprehensive overview of scars formation in genitalia. Understanding differences in healing process from other body tissue. Explanation of the relation between functionality and possible scar formation in the specific part of the body. Showing tips and trick to avoid obvious scars.

Materials / method: Techniques, technologies and materials used for minimal scars. Overviewing the variable ways of wound closing during genital surgeries. Showing the best way to deliver minimal scar results.

Results: Extended review and case studies to show results of procedures with the wrong and with the correct techniques.

Conclusion: The genital area is functional and extremely sensitive. Performing surgical procedures specially for aesthetic reasons has to be with care and extreme courtesy. Female could suffer pain for life if the wrong techniques have been used. Surgeons have to consider additional methods to enhance the scar and to offer better quality of life for their patients.

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Objectives: This study aims to evaluate the effectiveness and safety of labia majora rejuvenation with a new method by bi-filler {plasma jell) plus polycaprolactone-based filler fallowed PRP.

Introduction: Female external genitalia lose elasticity and volume with age, and start to lose fatty tissue, get wrinkled. This is why many patients seek on some kind of labia majora augmentation and rejuvenation. Currently, lipofilling and hyaluronic acid (HA) based injections are two most popular methods for this purpose. The first is invasive and need operation room and the second one is expensive and both of them absorb rapidly.

Materials / method: This is a prospective single group pilot study that was performed on 20 female patients desiring labia majora rejuvenation. All patients were complained about hypotrophy and hyperpigmentation of the labia majora. After taking written informed consent, they received two sessions of plasma gel plus polycaprolactone (PCL) based filler injections in subcutaneous layer and fallowed by PRP in intradermal layer at the same time in each labia majora at 3-month interval. They were assessed clinically before treatment sessions and at the end of follow-up period (6th month).

Results: All patients showed immediate significant clinical improvement after injection that maintained till the end of follow-up period. This finding was confirmed by significant reduction in the mean values of Wrinkle Severity Rating Scale (WSRS) and significant improvement of skin homogeneity and texture with slightly augmentation and bulking with high Visual Analog Patient Satisfaction Scale (VAS) score. In general, the reported side effects were minimal and transient.

Conclusion: Autologous platelet poor plasma gel injection seems to be a cost-effective, safe, well-tolerated, and minimally invasive technique producing significant aesthetic correction of labia majora wrinkles and augmentation.

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Objectives: Our double-blind longitudinal clinical psychological research included 14 menopausal women with high FSFI satisfaction scores following laser or RF vaginal interventions.

We demonstrated a high positive correlation between the subjects’ FSFI scores and the Hy (hysteria), D (Depression) and L (Lie) scales of the MMPI-2. Such high positive correlation between the FSFI and the L-scale negates the reported increase in female sexual satisfaction following laser or RF vaginal rejuvenation.

Objectives: Background:Vaginismus is a prevalent genito-pelvic pain/penetration disorder in the Middle East, often leads to unconsummated marriages, with a significant impact on marital and social well-being. Traditional treatments have shown limited success in refractory cases.
Vaginismus affects 14% to 34% of women under 30 years of age, and 6.5% to 45% of older women.
Vaginismus is a psychosomatic disorder manifested as involuntary contraction of the pelvic floor muscles during sexual intercourse or gynecological examination.

Introduction: Objectives: To evaluate the effectiveness of an integrated treatment program, including Botulinum Toxin A (BTXA) combined with radiofrequency(RF) treatment (RF4plus)in alleviating symptoms of vaginismus.

Materials / method: Two hundred female patients aged between 22-48 years has been presented with vaginismus throughout the period of January 2022 till January 2024 suffering from different grades of vaginismus who have been subjected to BTAX & RF for severe or refractory cases 2-3 weeks after BTAX

Results: Results: Of the 200 cases, 192 completed the suggested protocol. The average age of participants was 28 years. Most
Post BTAX treatment, 92.6% achieved painless penetration. While the rest were suggested to supplementary RF sessions to achieve safe painless penetration mild adverse side effects were reported in 28% of cases after BTAX.

Conclusion: The integrated treatment program, combining BTXA injections within perineal muscles &RF is highly effective in managing refractory vaginismus in Iranian women, with a success rate of over 90%.
This approach offers a promising solution for couples facing unconsummated marriages due to vaginismus.
Future perspective will be combining physiotherapy tools with this approach to get a faster success rate.

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