I had a posterior vaginal wall repair about 7 months ago and i am not pleased with results! Seeking vaginoplasty or should wait?
Doctor Answers 4
Vaginal tightening vs vaginal prolapse repair
A word of caution for patients who are told by their doctor that a vaginoplasty for tightening can be covered by their insurance. This often times means that they are not trained or experienced in aesthetic vaginal surgery and often times will have unsatisfactory results.
Vaginoplasty or vaginal prolapse repair
Unhappy with posterior vaginal wall repair. Not tight enough?
Vaginal wall repairs done for gynecologic issues are not intended to tighten the vagina. They simply deal with the medical condition (rectocele and/or enterocele) and tighten only mildly if at all. If you want a vaginoplasty for tightening, then this would involve internal incisions to tighten the levator (kegel) muscles and an external incision to tighten the perineal muscles. The need to tighten the vagina up to the level of the cervix is determined by the presence or absence of a hernia in the upper vagina known as enterocele. The latter is best handled under general anesthesia. If there is no enterocele, tightening the upper vagina won't add much to the tightening by addressing the muscles.
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