Prof. Dr. Ostrzenski describes occurrences of vaginal introitus site-specific defects and symptomatology associated with these defects. Neither the classification, symptoms, nor surgical treatment has never been published in the medical literature. Prof. Dr. Ostrzenski establishes a new vaginal introital clinical classification. The classification divides the vaginal introitus into the following: Category I (anterior), Category II (lateral), Category III (posterior), and Category IV (multiple locations). This clinical research shows that defects within the vaginal introitus can influence sexual function statistically significant since it causes a feeling sensation of a wide vagina.
Prof. Dr. Ostrzenski develops a new surgical technique of vaginal introidoplasty. Each compartment of the vaginal introitus requires different surgical technique applications. Anterior vaginal introidoplasty is the most demanding since surgery must be performed in the field that surgeons have not been formally trained.
The posterior vaginal introidoplasty can require a reconstruction of the perineal body and modified posterior perineoplasty (female crotch). A vaginal introitus reconstruction assists in the management of an acquired, symptomatic sensation of wide vagina.