Is bladder sling and vaginal wall tightening for cystocele repair the same as "vaginal rejuvenation?" What is the difference between the two procedures? Is there a difference between seeing a urologist or a cosmetic surgeon for this problem? Would a cosmetic surgeon be more likely to address tightening, specifically tightening of the walls and entrance? Should one follow up with a cosmetic surgeon after working with the urologist? Is the result of the bladder lift and wall repair procedure actually tighten the vagina the way I read that the vaginal rejuvenation procedures claim to do?
Bladder Lift and Vaginal Wall Tightening Same As Vaginal Rejuvenation?
Doctor Answers (2)
Vaginal rejuvenation and tightening with bladder lift or cystocele repair
You have asked some excellent questions that are confusing to most patients contemplating the procedure.
Understanding this process requires understanding the anatomy as well.
So excuse me if this sounds to simple. The front or anterior wall of the vagina is the posterior or back wall to the bladder neck; this is similar to a two story building and saying the ceiling of the first story is the same as the floor of the second story. In the same way the posterior or back wall of the vagina is the front wall of the rectum.
A weakness in the front (anterior) wall of the vagina causes a cystocele (bulging of the bladder into the vagina) whereas a weakness in the back (posterior) wall of the vagina causes a rectocele (bulging of the rectum into the vagina).
Most cosmetic or gynecologic surgeons when performing a vaginal rejuvenation will tighten the posterior wall also called a posterior repair. However, a cystocele repair is completed on tha anterior wall of the vagina. Both will make the vagina smaller. However, the posterior repair tends to be more secure because it is supported by a tightening of the muscles as well (levatorplasty). These are not usually performed at the same time.
A vaginal rejuvenation or posterior repair will tighten a sigficant portion along the length of the vagina. A perineoplasty will repair or tighten just the opening to the vagina.
Vaginal Rejuvenation vs Bladder lift
A Vaginal rejuvenation procedure narrows or tightens the vaginal muscle for increased sexual pleasure.