Vaginal advancement

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Vaginal Advancement is almost the opposite of how we think of vaginoplasty. Instead of tightening the vagina, it involves making the opening of the vagina larger to decrease pain with intercourse especially at the point of penetration. Patients best suited for this procedure are those that have tried to relieve the pain with intercourse medically without relief.

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Although rectovaginal fistulas RVFs are not life threatening disorders, they are amongst the most challenging diseases for surgeons. Patients with RVFs typically complain of passing flatus or feces from the vagina. These symptoms may cause both physical discomfort and psychological distress.

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Science Alert. Trends in Medical Research. Year: Volume: 12 Issue: 2 Page No. Abstract: Background and Objective: Recto-vaginal fistula RVF is the most distressing surgical condition that a woman can experience.

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To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen. Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients.

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Background Rectovaginal fistulas RVFs are abnormal epithelium-lined connections between the rectum and the vagina. RVFs may be simple or complex. This study analyzed the outcome of single-incision transperineal repair of simple RVFs with a vital bulbocavernosus muscle flap.

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The menopause transition, however, often upsets the natural balance of bacteria by decreasing the proportion of healthy bacteria and increasing vaginal pH. This can result in urogenital infections and other vaginal health problems. The community of microbes colonizing the vagina has a profound impact on reproductive and sexual health.

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Vacuum assisted closure of complex perineal wounds. Dis Colon Rectum ; 47 10 Lotus petal flaps for scrotal reconstruction combined with Integra resurfacing of the penis and anterior abdominal wall following necrotizing fasciitis.

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Weiss, M. Weiss, director of surgical endoscopy and a staff colorectal surgeon at Cleveland Clinic Florida, Weston. But for such tiny holes—sometimes the size of a pinhole—these defects can lead to extensive symptoms, and can be very difficult to repair.

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Vestibulectomy surgery is called complete right and left anterior and posterior vestibulectomy with vaginal advancement flap. Using this nomencluature, the complete surgery involves an excision of the portion of the vestibule that is several centimeters to the right and left above the urethral opening, called the urethral meatus. This wide excision is necessary to remove the high density of pain nerve fibers confined to the vestibular tissues that are not found in the vulvar or vaginal tissues. The nerves are fortunately very near the skin surface so only a depth of 3 mm of vestibular skin needs to be excised.

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