use of Z-plasty for reconstruction of short vagina after total hysterectomy

ABSTRACT

Total hysterectomy leads to vaginal shortening that might cause dyspareunia. This series included six patients with this complain. The classical Z-plasty technique was used in the way that the central limb of the Z-plasty was drawn on the longitudinal posterior column of the posterior vaginal wall starting 4 cm above the vaginal vestibule in upward direction. In addition to the gain in length, the Z-plasty tightened the upper part of vagina. This technique was safe as no complication was reported. And it was effective as no patient reported dyspareunia postoperatively