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Vaginal Rejuvenation with Gore-Mycromesh
Tae Hwan Park1, Kwi Whan Whang
1Buleun Health Care Center, Incheon, Republic of Korea, hard-piano@hanmail.net.
Aesthetic Plastic Surgery
|May 29, 2015
Summary
Vaginal rejuvenation using Gore-Mycromesh improved patient satisfaction and sexual function, particularly in elderly patients. This biocompatible material offers a viable alternative for specific indications, showing promising mid-term results.
Area of Science:
- Reconstructive Surgery
- Urogynecology
- Biomaterials in Medicine
Background:
- Previous vaginal rejuvenation utilized elastic silicone threads.
- Alternative biocompatible materials are needed for specific patient indications.
- Gore-Mycromesh, an expanded poly-tetrafluoroethylene material, is widely used in reconstructive surgery.
Purpose of the Study:
- To evaluate clinical experience with static vaginal rejuvenation using Gore-Mycromesh.
- To assess overall patient satisfaction and sexual function improvement via the Female Sexual Function Index (FSFI).
Main Methods:
- Study included 50 patients undergoing Gore-Mycromesh vaginal rejuvenation between 2010-2012.
- Surgical technique involved submucosal dissection and grafting of Gore-Mycromesh to the posterior vaginal wall (muscle/fascia).
- Patient satisfaction and sexual function were assessed using the FSFI.
Main Results:
- Significant improvement in overall FSFI scores observed up to one year postoperatively, especially in the satisfaction subscore.
- 84% of patients (42/50) reported being "very satisfied" or "satisfied" with the outcomes.
- Overall complication rate was 8%.
Conclusions:
- Vaginal rejuvenation with Gore-Mycromesh significantly enhances postoperative outcomes and sexual function, particularly the satisfaction aspect.
- This technique may offer superior results in elderly patients by allowing simultaneous plication of the posterior vaginal wall.
- Further research is needed to optimize implant positioning, adherence, tightening effect, and longevity.