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Aesthetic Plastic Surgery

, Volume 39, Issue 4, pp 491–494 | Cite as

Vaginal Rejuvenation with Gore-Mycromesh

  • Tae Hwan ParkEmail author
  • Kwi Whan Whang
Multimedia Manuscript Aesthetic

Abstract

Recently, we introduced functional vaginal rejuvenation with elastic silicone threads. However, some patients with specific indications need other biocompatible materials for rejuvenation of the vagina. Gore-Mycromesh is one of the most commonly used materials in plastic and reconstructive surgical fields and it is composed of expanded poly-tetrafluroethylene. In this study, we introduced our clinical experience with static vaginal rejuvenation using Gore-Mycromesh to specifically assess the overall patient satisfaction (Female Sexual Function Index, FSFI). This study included 50 patients who underwent vaginal rejuvenation with a Gore-Mycromesh between 2010 and 2012. After marking two incisions at the inner side of the vaginal inlet and posterior wall, respectively, we performed submucosal dissection at the posterior vaginal wall and then grafted and secured a Gore-Mycromesh to the dissected area (muscle/fascia). Overall the FSFI improved as time progressed up to a year postoperatively. This is especially prominent in the FSFI satisfaction subscore. All but eight patients (42/50, 84 %) were “very satisfied (5)” or “satisfied (4)” with the outcomes after the vaginal rejuvenation. The overall complication rate was 8 %. Based on our clinical experience with the 50 cases, we think that vaginal rejuvenation with Gore-Mycromesh significantly improved postoperative outcomes, resulting in improved sexual function with a focus on improving the FSFI satisfaction subscore in mid-term follow-up. Elderly patients experience better outcomes using gore mycromesh rather than silicone thread because we can plicate the vaginal posterior wall with senile changes simultaneously using an open technique. However, further studies would be warranted for better positioning and adherence of grafted implants to surrounding tissue and for increasing the tightening effect of the implant and its sufficient longevity.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Genitalia Vagina Rejuvenation Gore-tex, mesh 

Notes

Acknowledgments

None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Supplementary material

Supplementary material 1 (WMV 38443 kb). Video1: Appearance of Gore-Mycromesh and the surgical technique

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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2015

Authors and Affiliations

  1. 1.Buleun Health Care CenterIncheonRepublic of Korea
  2. 2.Department of Plastic and Reconstructive SurgeryYonsei University College of MedicineSeoulRepublic of Korea
  3. 3.Miz Aesthetic Surgery ClinicSeoulRepublic of Korea

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