PURPOSE: The purpose of this study was to investigate the effects of pelvic floor muscle exercise using electric stimulation and biofeedback on maximum pressure of vaginal contraction, vaginal contraction duration and sexual function in women who have had vaginal rejuvenation. METHODS: The research design was a non-equivalent control group non-synchronized design study. Participants in this study were women who had vaginal rejuvenation at C obstetrics and gynecology hospital. The 15 participants in the experimental group were given pelvic floor muscle exercise using electric stimulation and biofeedback and the 15 participants in the control group received self pelvic floor muscle exercise. RESULTS: For maximum pressure of vaginal contraction, the experimental group showed a statistically significant increase compared to than the control group (t=5.96, p<.001). For vaginal contraction duration, the experimental group also showed a statistically significant increase compared to the control group (t=3.23, p=.003). For women's sexual function, the experimental group showed a significant increase when compared to the control group in total sexual function scores (t=3.41, p=.002). CONCLUSION: The results indicate that pelvic floor muscle exercise with electric stimulation and biofeedback after vaginal rejuvenation is effective in strengthening vaginal contraction pressure, vaginal contraction and that it also positively functions to increase women's sexual function.
Adult ; Biofeedback, Psychology ; *Electric Stimulation ; *Exercise ; Female ; Humans ; Middle Aged ; Muscle Contraction/physiology ; Pelvic Floor/*physiology ; Rejuvenation/*physiology ; Sexual Behavior/psychology ; Surveys and Questionnaires ; Vagina/*physiology/surgery

OBJECTIVEThis is to introduce a method for vagina reconstruction using the expanded labia minora flap.

METHODSTwo tissue expanders were implanted in the labia minora bilaterally and expanded slowly over 4 weeks. In the operation, the expanded labial tissue was advanced as a bipedicle flap to line the reconstructed vagina. Five patients were treated with this method. Postoperative stent placement and dilation resulted in a vaginal canal exceeding 8 cm in depth.

RESULTSDuring the follow-up of 6 months to 2 years, four of the five patients got married. The vulva exhibited almost indistinguishable appearance. The reconstructed vagina had sensory and secretary functions. Its morphology and depth well meet the physiological demand.

CONCLUSIONSThe modified method of tissue expansion vaginoplasty using the labia minora bipedicle flap is a good option for vagina surgery. The reconstructed vagina possesses the anatomical and physiological resemblance.

Female ; Follow-Up Studies ; Humans ; Organ Size ; Orthopedic Procedures ; Reconstructive Surgical Procedures ; methods ; Stents ; Surgical Flaps ; transplantation ; Tissue Expansion ; methods ; Tissue Expansion Devices ; Vagina ; anatomy & histology ; physiology ; surgery ; Vulva ; transplantation