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Amarenco G, Turmel N, Chesnel C, Mezzadri M, Le Breton F, Charlanes A, Hentzen C. [Vaginal gas: Review]. Prog Urol 2019; 29:1035-1040. [PMID: 31759885 DOI: 10.1016/j.purol.2019.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 10/22/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The aim of this article was to review the literature about vaginal winds (VW). METHODS A literature review (Medline database, Cochrane Library and Google scholar) with no time limit was performed using keywords "vaginal winds", "vaginal noise", "vaginal gaz", "flatus vaginalis", "vaginal flatus", "colpophony", "Garrulitas vulvae", "vaginal laxity". RESULTS From 412 articles about VW, 15 have been selected and 99 from 110 about vaginal laxity. VW occurs during physical exercises but also during and just after coïtus. The prevalence is about 20%. The pathophyiology of VW is probably a vaginal hyperlaxity itself secondary to pelvic floor muscles weakness and thus increased diameter of vaginal hiatus. VW alter sexual function in female patients but this sexual function seems not influenced in male partners. Tampons or pessaries are currently the most commonly proposed treatment (but naturally impossible to use during sexual intercourse), but some results from vaginal laser therapy are encouraging. CONCLUSION Data from the literature suggest that vaginal winds are frequent and seriously impact quality of life of female patients. Childbirth and more generally vaginal laxity are the main causes. Pelvic-floor exercises, tampons, pessaries, surgery and laser can be proposed in order to improve sexual function in patients seeking treatment.
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Affiliation(s)
- G Amarenco
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France.
| | - N Turmel
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - C Chesnel
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - M Mezzadri
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - F Le Breton
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - A Charlanes
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - C Hentzen
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
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