{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:30:53Z","timestamp":1776263453073,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Vaginal laxity, usually accompanied with prolapse symptoms, affects women\u2019s sexual satisfaction and quality of life. Vaginal tightening surgery aims to reinforce perivaginal muscle strength and restore normal vaginal anatomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of this study was to introduce a new surgical approach to vaginal tightening that uses acellular dermal matrix.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this retrospective study, data from 80 patients with vaginal laxity who underwent surgery between April 2017 and April 2021 were analyzed. Three-dimensional transvaginal ultrasound was performed and the Female Sexual Function Index was evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean age of the patients was 44.6 years. The mean patient follow-up was 13.2 months. No infection, rectovaginal fistula, or implant explantation occurred. Transvaginal ultrasound examination demonstrated a significant reduction of introital diameter on a maximum Valsalva maneuver (2.3 cm vs 4.1 cm; P &amp;lt; 0.05) and the reconstruction of acute vaginal angulation. The Female Sexual Function Index orgasm subscore increased significantly.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Vaginal tightening with acellular dermal matrix is a minimally invasive surgery that offers a safe and effective treatment for patients with vaginal laxity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 4<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjac071","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T04:13:01Z","timestamp":1648613581000},"page":"1045-1052","source":"Crossref","is-referenced-by-count":3,"title":["New Method for Genital Aesthetic Surgery: An Easy-to-Learn 2-Step Approach With Acellular Dermal Matrix"],"prefix":"10.1093","volume":"42","author":[{"given":"Yunzhu","family":"Li","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenan","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Beijing Erlong Road Hospital , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiding","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dingyue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College Dr D. Zhang is a medical student, , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaojun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences , Beijing , China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"issue":"6","key":"2022082414085320600_CIT0001","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1097\/01.AOG.0000218096.54169.34","article-title":"Parity, mode of delivery, and pelvic floor disorders","volume":"107","author":"Lukacz","year":"2006","journal-title":"Obstet Gynecol."},{"issue":"11","key":"2022082414085320600_CIT0002","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1001\/jama.300.11.1311","article-title":"Prevalence of symptomatic pelvic floor disorders in US women","volume":"300","author":"Nygaard","year":"2008","journal-title":"JAMA."},{"issue":"5","key":"2022082414085320600_CIT0003","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1080\/09513590.2017.1418312","article-title":"Vaginal hyperlaxity syndrome: a new concept and challenge","volume":"34","author":"Palacios","year":"2018","journal-title":"Gynecol Endocrinol."},{"issue":"2","key":"2022082414085320600_CIT0004","doi-asserted-by":"crossref","first-page":"284e","DOI":"10.1097\/PRS.0000000000005883","article-title":"Female genital and vaginal plastic surgery: an overview","volume":"144","author":"Placik","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"2022082414085320600_CIT0005","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1002\/lsm.23110","article-title":"Laser vaginal tightening complications: report of three cases","volume":"51","author":"Al-Badr","year":"2019","journal-title":"Lasers Surg Med."},{"issue":"2","key":"2022082414085320600_CIT0006","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1111\/jog.12195","article-title":"Effectiveness of selective vaginal tightening on sexual function among reproductive aged women in Iran with vaginal laxity: a quasi-experimental study","volume":"40","author":"Abedi","year":"2014","journal-title":"J Obstet Gynaecol Res."},{"issue":"11","key":"2022082414085320600_CIT0007","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1007\/s00192-020-04250-3","article-title":"Postpartum sexual function; 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