Female genital cosmetic surgery : beyond a mechanistic view of sexual satisfaction

We appreciate the interest of Prof. Petros in our commentary on female genital cosmetic surgery (FGCS) (1), as well as his insightful considerations on some anatomical and biomechanical aspects of sexual intercourse. Certainly, physiologic pelvic floor functioning, resulting from undamaged muscular and suspensory ligaments systems, plays an important role in sexual satisfaction. An association between pelvic floor dysfunctions, - such as urinary stress incontinence, cystocele, rectocele, and genital prolapse in general, - and female sexual dysfunctions has been observed.