{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T16:36:02Z","timestamp":1781886962512,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The sensation of a wide vagina is a common problem for women after childbirth. As its etiology is unknown, there is no uniform management strategy. We hypothesized that, rather than vaginal laxity, the cause was level 3 pelvic support deficiency.<jats:italic>Methods<\/jats:italic>. This retrospective study compared preoperative and postoperative genital hiatus length, perineal length, and total vaginal length in patients treated with perineoplasty for the sensation of a wide vagina. A telephone survey was used to determine postoperative patient and male partner satisfaction rates.<jats:italic>Results<\/jats:italic>. Mean age of patients was 48 (26\u201368) years; mean body mass index (BMI) was 25.3 (17.6\u201333.2); and mean parity was 2.5 (2\u20135). Preoperative and postoperative genital hiatus, perineal length, and total vaginal length were 4.62 and 3.18 (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.01<\/mml:mn><\/mml:math>), 3.06 and 4.04 (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.01<\/mml:mn><\/mml:math>), and 9.43 and 9.43 (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.882<\/mml:mn><\/mml:math>), respectively. At the 6-month follow-up, the success rate of the perineoplasty procedure was 87.9%; according to a visual analog scale, partner satisfaction rate was 92.6%. Ten percent (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">4<\/mml:mn><\/mml:math>) of patients said they experienced dyspareunia during sexual intercourse at the introitus of the vagina.<jats:italic>Conclusion<\/jats:italic>. With low dyspareunia rates, low complication rates, high patient satisfaction, and satisfactory anatomical success, perineoplasty can be considered successful for treatment of the sensation of a wide vagina.<\/jats:p>","DOI":"10.1155\/2016\/2495105","type":"journal-article","created":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T17:02:14Z","timestamp":1471453334000},"page":"1-5","source":"Crossref","is-referenced-by-count":40,"title":["Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3775-4354","authenticated-orcid":true,"given":"Mustafa","family":"Ulubay","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Department, Gulhane Military Medical Academy (GATA), Etlik, 06018 Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugur","family":"Keskin","sequence":"additional","affiliation":[{"name":"Obstetrics 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