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    Dilatation of iatrogenic vaginal stenosis with an absorbable oxidized regenerated cellulose
    (Afyon Kocatepe University, 2022) Elçi Atılgan, Adeviye; Acar, Ali; Ercan, Ferdi; Altuntaş, Şükriye Leyla; Purut, Yunus Emre
    OBJECTIVE: Iatrogenic vaginal stenosis adversely affects the sexual life of couples. The definitive treatment of this condition is possible by redilatation of vagina. This study aims to investi- gate the outcomes of vaginal dilatation procedure performed using an absorbable oxidized regenerated cellulose. MATERIAL AND METHODS: 29 patients who could not have intercourse due to Iatrogenic vaginal stenosis underwent va- gina enlargement surgery using an absorbable oxidized rege- nerated cellulose in the period of April 2014 to August 2020. The results were analysed with the help of the standard ‘Patient Global Impression of Improvement Scale (PGI-I) which evalua- tes patient satisfaction in particular. RESULTS: The mean follow-up period was 16 monts (14 - 24 months). No major perioperative complication was detected except from perianal hemotoma treated with antibiotics and drainage in a case. At 6th month follow up visit, 27 patients re- ported pain free sexual intercourse. Two patients needed re-di- latation 4 and 6 months later respectively.Based on the scores of patients as “much better ‘’and ‘’very much better” on the PGI-I scale, satisfaction rate was 93% at 6th month follow up visit. CONCLUSIONS: Vaginal dilatation surgery with absorbable oxidized regenerated cellulose seems to be a safe and effecti- ve procedure with positive anatomical and functional results. However, many comparative studies are needed to fully the ef- ficiency and safety of this procedure.