A Regenerative Approach to Treat Vulvar and Vaginal Scarring

Why Did You Decide to Do These Techniques?

Vulvar and vaginal surgery cause an inevitable scarring process and when major complications occur, an uncontrolled scar process undermines tissue reconstruction. There are inevitable scars and others are true vulvovaginal (VV) complications leading to uncontrolled scars. Here, I explain the differences between these two processes.

Inevitable scar

Vulvar Surgery

The inevitable subdermal and deep scar as a result of incision and sutures may lead to pain caused by nerve inclusion and tissue distortion. Episiotomy incision, Bartolini cyst removal, and partial vulvectomies are good examples. The loss of issue elasticity determines a dramatic anatomical change, transforming the VV dynamic myofascial system into a rigid and static one. For example, vulvoperineoplasty via fascial plication determines reduction of tissue laxity but determines staticity, increase tissue rigidity, and may determine traction on pudendal nerve fibers located posteriorly to transverse muscle.

Vaginal Surgery

The majority of vaginal surgeries require fixation and controlled scar processes.

Sometimes scars may be painful as a result of pudendal nerve fiber inclusion or traction (e.g., vaginal vault fixation on the sacrospinus ligament after vaginal hysterectomy) or to myofascial abnormal tractions.

Slings and transvaginal tape (TVT) meshes determine a rigid system with often uncomfortable/painful sensations as a result of major loss of tissue elasticity.

True vulvovaginal complications leading to uncontrolled scars

You're Reading a Preview

Become a Clinical Tree membership for Full access and enjoy Unlimited articles

Become membership

If you are a member. Log in here