In January 2009, at the American Academy of Cosmetic Surgeons' meeting, I presented my first 4 1/2 years of data on sexual function problems related to anatomy and their treatment with the YAG (yttrium aluminium garnet) laser, instead of electrocautery, for posterior colporrhaphy and perineorrhaphy
Papanicolaou tests/'Pap smears' with HPV DNA Testing for Cervical Cancer; Perineorrhaphy
, Preimplantation Genetic Diagnosis; Pregnancy; Recurrent pregnancy loss; Presacral neurectomy (PSN) for the treatment of chronic pelvic pain; Salivary estriol test for preterm labor, Salpingectomy/salpingostomy, VABRA aspirator; Ultrasonography in pregnancy, Ultrasonongraphy screen for Down Syndrome, Uterine Activity Monitoring (UAM), Uterine Fibroid (Leiomyomata) Therapy; Uterine artery embolization for the treatment of fibroids; VABRA aspirator; Zinc blood levels in pregnancy.
Fenner provided her insight on the technique of posterior colporrhaphy and perineorrhaphy
, that is, transvaginal rectocele repair, in the last installment of OB.
Given this issue, it is pertinent to revisit posterior colporrhaphy and perineorrhaphy
for rectocele repair without mesh augmentation.
When a perineorrhaphy
is performed, the bulbocavernosus muscles must be identified and plicated in the midline with care so as not to narrow the introitus so significantly that coital activity would be impaired.
I also often perform a perineorrhaphy
to repair the perineal body and help with vaginal support.