Vaginoplasty

Vaginoplasty

What is Vaginoplasty?

Vaginoplasty or Vaginal Rejuvenation or Vaginal Tightening or Posterior Vaginal Repair, is a surgical procedure performed to fix Vaginal Relaxation. Women with vaginal relaxation often complain they no longer feel the same amount of friction during intercourse. The women will often describe vaginal looseness as a decrease in a woman’s ability to attain vaginal orgasms. The main component of the lack of friction is the relaxation of the posterior inner vaginal wall. This is usually a component of relaxation at the vaginal opening.

  • The cause of posterior vaginal wall relaxation is the weakening of the pelvic support structures and thinning of the recto-vaginal septum in the posterior vaginal wall. Birth trauma such as multiple deliveries, difficult or prolonged deliveries, the use of forceps or other assisted methods of delivery, perineal tears, or an episiotomy into the rectum or anal sphincter muscles may increase the risk of a woman developing posterior vaginal wall prolapse (a rectocele).
  • A history of chronic constipation and straining with bowel movement and / or hysterectomy may contribute to the development of vaginal wall relaxation or prolapse. These problems develop with age but they may occasionally occur in younger women or in those that have not delivered children.
  • Vaginoplasty aims to tone and tighten lax and overly stretched vaginal muscles and tissues resulting in greater contraction strength and control, thus permitting greater sensation during sexual experience. The procedure is used to remove excess posterior vaginal mucosa to correct defects in the posterior vaginal wall and to narrow the diameter of the vagina, which results to a smaller and tighter vaginal canal and opening. 
  • Recently, Laser has been applicable to Vaginoplasty, consequently benefits of Laser Vaginal Rejuvenation includes : more precision and accuracy as a result of the surgical wound control, less blood loss, less risk of vessel and tissue damages and quicker recovery time thus bringing about better results than using the old conventional scalpel procedure.

Symptoms of Posterior Vaginal Wall Prolapse:

  • dyspareunia
  • constipation
  • rectal pressure
  • Pain in the lower back
  • flatulence incontinence
  • rectal pain and vaginal bulge
  • failure to completely empty the bowel
  • pain or discomfort after bowel movements

Causes of the Posterior Vaginal Wall Prolapse:

  •  Multiple or prolonged deliveries.
  • The use of forceps or other assisted methods of delivery.
  • A history of constipation and straining with bowel movements.
  • Perineal tears or an episiotomy into the rectum or anal sphincter muscles.
  • Aging, occasionally likely in younger women or in those that have not delivered children.
  • This problem may be preceded by hysterectomy because it is involved in damaging different structures supporting pelvic organs and ligaments and tissues around cervix supporting the anterior and posterior vaginal wall.

There are 3 methods of correcting prolapse of the vagina as follows:

  1. THE KEGEL EXERCISE - is safe but would have to take 6 months until results would show, and does not guarantee full effectiveness.
  2. ANTERIOR & POSTERIOR VAGINAL REPAIR (A-P Vaginal Repair) - is the surgical repair of pelvic prolapse by entailing the surgical removal of the excessive anterior and posterior vaginal tissues as well as bladder and rectum prolapse, thereby correcting the prolapse, at the same time tightening the vagina.
  3. VAGINOPLASTY POSTERIOR VAGINAL REPAIR (P-Repair) - is the surgical repair of pelvic prolapse by entailing the surgical removal of the excessive posterior vaginal tissues as well as rectum prolapse, thereby correcting the prolapse, at the same time tightening. However, this procedure also has its limitations to the patients with multiple deliveries.

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