ABSTRACT
The few studies that have been done show that vaginal tightening procedures, including vaginoplasty and perineoplasty, are associated with improved sexual function with low complication rates. In most cases, perineoplasty is combined with posterior colporrhapy as a posterior repair, because isolated rectoceles are relatively uncommon and are found in approximately 7% of women who present for surgical repair. Similarly, narrowing vaginal introitus by threads may produce good aesthetic results but is not capable of rebuilding perineum because it does not refer to the essence of perineoplasty, which is reinforcing the perineal muscles and perineal body. The key objective of perineoplasty is a restoration of the perineal body. It is also necessary to clarify some nomenclatural confusion regarding the so-called recto-vaginal fascia whose reinforcement is also a part of perineoplasty and vaginoplasty. Perineoplasty and surgery of external genitalia can be performed under any type of anesthesia, but given the scope of the procedure, local anesthesia seems to be most appropriate.
