Intractable Vaginismus – A New Approach of Management by Incision of Spasmodic Perivaginal Muscles and Resurfacing with Labia Minoraflaps

Introduction: Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the lower third of the vagina, which interferes with coitus resulting in matrimonial disharmony. Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration. There are many methods described for the management of the condition. But most of times all methods fail to treat such patients. We have developed a newer approach for management of this condition in which spasmodic muscles are incised and resultant defect is resurfaced with Labia Minora Flaps.