Bilateral plication of the puborectal muscles: A new surgical concept for treating vulvar widening

Abstract Objectives This study describe a new myorraphy technique by bilateral plication of the puborectalis bundles (PRP) of the levator ani muscle to treat vulvovaginal widening. The aim of this work was to report our preliminary experience in terms of morbidity and results (anatomical and functional) in the short and medium term. Materials and methods This single centre retrospective study concerned 69 women who underwent PRP between January 2011 and December 2014. The main criterion for judging success was the GH before and after surgery (Genital Hiatus in the POP-Q classification: Pelvic Organ Prolapse Quantification System). The secondary criteria were the quality of sexual intercourse and the morbidity. Results The average GH post-surgery was 31, 35 and 35 mm at 6 weeks, 6 and 12 months respectively compared to 65 ± 5 mm preoperatively ( P P Conclusion This preliminary study of PRP confirms the feasibility of the procedure, its low morbidity and the stability of the anatomical outcomes at 12 months.