[Vulvo-perineal surgery]

Abstract

Vulvo- perineoplasty consists of: Splitting the posterior vaginal wall widely as is done for a posterior colpoperineorrhaphy operation. Excising a triangle of perineal skin the apex of which coincides with the margin of the anus. Thinning down the central fibrous nodule of the perineum which is completely exposed by radial incisions and digital dissection. Bringing down a well vascularised flap of the posterior vaginal wall so as to reconstitute an enlarged vaginal opening. This technique can not only be used to cure congenital and, especially, acquired narrowing of the vulva but also sclerotic and dystrophic conditions of the fourchette .