The following is the list of standardized nomenclature recognized by ABAGyn. ABAGyn Fellows should use these terms, as defined, in describing physical findings and procedures related to aesthetic gynecology.
Condition: Symmetric Multiparous Vault (SMV)
Pronunciation: [sim-et-trick mul-tip-are-us-valt]
Description: This is a normal condition. Women who have delivered a child vaginally or undergone the labor process typically have a larger vagina then women who have not delivered vaginally or undergone labor. A vagina (vault) that is larger, but maintains the same shape as the vagina typically found in women whom have not labored or delivered vaginally, is described as a Symmetric Multiparous Vault. The Multiparous Vault state is more common than the nulliparous vault state. SMV is often associated with Vaginal Relaxation Syndrome.
Treatment: This condition is only treated when associated with Vaginal Relaxation Syndrome. When associated with Vaginal Relaxation Syndrome, it is treated with a surgical technique known as vaginal rejuvenation or restoration. This surgery is typically performed with a laser and the use of suture material should be kept to a minimum. The goal of the surgery is to decrease the size of the vagina and recreate the normal shape of the vagina often lost with childbirth and aging. It may take as long as three months following completion of the surgery for full reduction and reshaping to occur. This is because, in a successful rejuvenation procedure, new collagen continues to be deposited by the body's cells for months after the surgery.
Condition: Asymmetric Multiparous Vault (AMV)
Pronunciation: [ae-sim-et-trick mul-tip-are-us-valt]
Description: This is a normal condition. Women who have delivered a child vaginally or undergone the labor process typically have a larger vagina then women who have not delivered vaginally or undergone labor. A vagina (vault) that is larger, but maintains the same shape as the vagina typically found in women whom have not labored or delivered vaginally, is described as a Asymmetric Multiparous Vault. The Multiparous Vault state is more common than the nulliparous vault state. AMV is often associated with Vaginal Relaxation Syndrome.
Treatment: This condition is only treated when associated with Vaginal Relaxation Syndrome. When associated with Vaginal Relaxation Syndrome, it is treated with a surgical technique known as vaginal rejuvenation or restoration. This surgery is typically performed with a laser and the use of suture material should be kept to a minimum. The goal of the surgery is to decrease the size of the vagina and recreate the normal shape of the vagina often lost with childbirth and aging. It may take as long as three months following completion of the surgery for full reduction and reshaping to occur. This is because, in a successful rejuvenation procedure, new collagen continues to be deposited by the body's cells for months after the surgery.
Condition: Vaginal Relaxation Syndrome (VRS)
Pronunciation: [vaj-uh-nl ree-lak-sey-shuh n sin-drome]
Description: A condition defined by patient patient complaints of decreased friction with intercourse, and/or a sensation of vaginal looseness. This is typically associated with both the Symmetric and Asymmetric Multiparous Vault states.
Treatment: This condition is treated with a surgical technique known as vaginal rejuvenation or restoration. This surgery is typically performed with a laser and the use of suture material should be kept to a minimal. The goal of the surgery is to decrease the size of the vagina and recreate the normal shape of the vagina often lost with childbirth and aging. It may take as long as three months following completion of the surgery for full reduction and reshaping to occur. This is because, in a successful rejuvenation procedure, new collagen continues to be deposited by the body's cells for months after the surgery.
Condition: Hypoaesthesia Vagina
Pronunciation: [hahy-poh-es-thee-zhuh vuh-jahy-nuh]
Description: A condition defined by the patient complaint of decrease vaginal sensation.
Treatment: This condition may be treated with a combination of local and systemic bioidentical hormone replacement therapy combined with vaginal rejuvenation surgery.
Condition: Dysaesthetica Genital Hiatus
Pronunciation: [dis-is-thet-ik jen-i-tl hahy-ey-tuh s]
Description: A condition defined by patient dissatisfaction with the size and shape of opening into the vagina.
Treatment: This condition is treated with a surgical technique known as hiatoplasty. Hiatoplasty may be performed with a common scalpel and suture but is best performed with more advanced, less traumatic laser procedures.
Condition: Dysaesthetica Labia Majora
Pronunciation: [dis-is-thet-ik ley-bee-uh muh-jawr-uh]
Description: A condition defined by patient dissatisfaction with the appearance of her labia majora (outer labia).
Treatment: This condition is treated with a surgical technique known as labia majoraplasty. Labiaplasty may be performed with a common scalpel and suture but is best performed with more advanced, less traumatic laser procedures.
Condition: Dysaesthetica Labia Minora
Pronunciation: [dis-is-thet-ik ley-bee-uh mi-nawr-uh]
Description: A condition defined by patient dissatisfaction with the appearance of her labia minora (inner labia).
Treatment: This condition is treated with a surgical technique known as labia minoraplasty. Labiaplasty may be performed with a common scalpel and suture but is best performed with more advanced, less traumatic laser procedures.
Condition: Dysaesthetica Perineum
Pronunciation: [dis-is-thet-ik per-uh-nee-uh m]
Description: A condition defined by patient dissatisfaction with the appearance of her perineum (space between the vagina and anus).
Treatment: This condition is treated with a surgical technique known as perineoplasty. Perineoplasty may be performed with a common scalpel and suture but is best performed with more advanced, less traumatic laser procedures.
Condition: Dysaesthetica Prepuce
Pronunciation: [dis-is-thet-ik pree-pyoos]
Description: A condition defined by patient dissatisfaction with the appearance of her prepuce (skin covering the clitoris).
Treatment: This condition is treated with a surgical technique known as prepuceplasty. Prepuceplasty may be performed with a common scalpel and suture but is best performed with more advanced, less traumatic laser procedures. This procedure must be performed with the greatest of caution in order to preserve the innervation and normal anatomy of the surrounding tissue. Overcorrection may result in the exposure of the clitoris and subsequent discomfort.
Condition: Dyspareunia
Pronunciation: [dis-puh-roo-nee-uh]
Description: A condition defined by pain during intercourse.
Treatment: This is a complex condition that is only sometimes treatable with surgery. If there is anatomic deformity such as scaring from previous surgery, various surgical techniques such as lysis of constriction rings, mucosal advancement flaps, and Hiatoplasty may be beneficial. In many circumstances the use of bioidentical hormone replacement therapy and vaginal dilators may be helpful.