J Frappell

Plymouth Procedure

Alternative to Fenton's Procedure

What is the difference between Fenton’s procedure and The Plymouth Procedure

Fentons Procedure, which can frequently fail is a procedure widely used to repair consistently tearing or a badly healed episiotomy.

When the opening of the vagina has a problem with splitting skin, it makes it impossible to engage in intercourse, and even gets so bad that exercise, wearing anything other than big pants and even using tampax is so uncomfortable as to be prohibitive. This is due not only to the consistent rubbing of the damaged skin, but also because this area is prone to very bad infections no matter how clean and dry you keep it.

The problem with Fentons `procedure is that you generally have to wait for at least six to eight months before the operation can be affected and then wait another six to eight weeks before you are able to see whether the operation has worked.

During this time, it is likely that the area will feel very tight and sore and will frequently get re-infected, plus you will often find that engaging in intercourse although not as painful, is still too uncomfortable to make it an enjoyable experience.

I have recently devised a new operation for problems with narrowing and splitting of the skin at the opening of the vagina which makes sexual intercourse difficult or impossible.

My operation, double Z-plasty with VY advancement is based upon techniques developed by plastic surgeons for dealing with skin contractures, normally following burs injuries. It is proving remarkably successful and has been reported at national and international scientific meetings.

It is indicated for a variety of conditions which cause narrowing or splitting of the skin including:

  • Failed Fenton’s Procedure.
  • Distortion following childbirth/episiotomy repair.
  • Lichen sclerosis.
  • Congenital skin flap.

The operation takes about forty minutes, under a light general anaesthetic, as a day case procedure. It is wise to take a little time off post-operatively.

All the stitches dissolve, and healing usually takes about two to four weeks to complete.