Would vaginal rejuvenation help with tightening after total hysterectomy?

Question

I had a total hysterectomy a year ago and my Vaginal feels completely loose. My cervix was removed, can I still get effective vaginal rejuvenation surgery?

Mark N. Scheinberg, MD · Answer

Thank you for your questionAbsolutely. The vagina is like a rectangular box connected on all six sides. Whether or not the cervix is removed it still keeps that essential form. Look for an experienced surgeon who understands vaginal anatomy, can evaluate the defects leading to your sensation of looseness and can individually repair those defects. Do your homework to find someone who can get it right the first time.See realself info on vaginoplasty for more info.

Chet Mays, MD · Answer

Thank you for your inquiry! Yes, a Vaginoplasty procedure can be performed to increase vaginal tightness. We would love to meet with you in person to make sure you're a candidate for this procedure. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

Stanley Okoro, MD · Answer

Thank you for your question. It is difficult to recommend options without examining you. Make sure you consult with a board certified plastic surgeon. Broadly, there are are options when it comes to vaginal rejuvenation
1. Non surgical skin tightening with RadioFrequency heat like ThermiVa
2. Surgical consideration with Vaginoplasty
Good luck!

Burcak Tok, MD · Answer

Hello, if your ovaries were removed during total hysterectomy, you also have estrogen deficiency. Surgery or laser will be beneficial for vaginal width. However, depending on your age and condition, you may also benefit from hormone replacement therapy at the appropriate dose.

Cynthia Diehl, MD · Answer

I usually recommend the patient see a gynecologist to discuss internal surgical tightening procedures. There are several devices that can be used to "rejuvenate" and these usually include CO2 laser and radiofrequency, technology. The results vary from patient to patient, but many experience significant improvement with tightening, restoring moisture, improving stress, incontinence, and increasing sensitivity. This is not a surgical correction for laxity, but can help.

Michelle Jones Singer, MD · Answer

Yes certainly. A vaginal rejuvenation can be surgical, which is called a vaginoplasty. It may also involve tightening the vaginal wall with devices that use radio-frequency or CO2 laser. It is important for you to consult an experienced cosmetic gynecologist or urogynecologist. Discuss all of your options and the results you desire.

Oscar A. Aguirre, MD, FPMRS · Answer

Hello Gee31,
Yes, of course, you still have vaginal rejuvenation options following a hysterectomy. You schedule a consultation with a specialist in surgical and non-surgical vaginal rejuvenation. 
Go to the link below to learn more about these procedures. From that link you may schedule a virtual consult via phone or zoom, at which time we can discuss in-depth your anatomy, expectations, and concerns. 
Best of luck,

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Vaginal rejuvenation for vaginal tightening is called vaginoplasty. It can certainly be done whether you had a total hysterectomy (uterus + cervix removed), or a subtotal hysterectomy aka supracervical hysterectomy (uterus removed, cervix not removed). Hysterectomy surgery has nothing to do with vaginal tightening and it doesn't affect the quality of any vaginoplasty operation. Consider a virtual consultation with an expert for more details.

Jennifer R. Berman, MS, MD · Answer

Vaginal rejuvenation can address a variety of concerns, including feelings of looseness or decreased muscle tone, through either surgical or non-surgical procedures. Here's what you should know:

Surgical Options:
Vaginoplasty: This procedure tightens the vaginal canal by repairing and reinforcing the vaginal muscles and tissues. It's tailored to your anatomy and can significantly improve strength and tone.
Perineoplasty: If the perineum (the area between the vagina and anus) feels loose, this surgery can tighten and improve its appearance and function.
Non-Surgical Options:
Laser or Radiofrequency Treatments: These use heat to stimulate collagen production, improve tissue elasticity, and tighten the vaginal walls. These treatments are non-invasive and require no downtime.
Pelvic Floor Therapy: Strengthening the pelvic floor muscles with physical therapy or devices like Kegel trainers can improve muscle tone.
Considerations After Hysterectomy:
The absence of a cervix does not typically affect the ability to undergo vaginal rejuvenation.
Healing and results may vary slightly depending on the extent of your previous surgery and scar tissue.
A thorough examination by a gynecologist or plastic surgeon specializing in pelvic procedures is essential to determine the best approach for you.
Let me know if you'd like more detailed information about these options or guidance on discussing them with your doctor!

Laura A. Katz, MD · Answer

Nowadays vaginal rejuvenation, depending on the patient and the exam can be established easily with an in office procedure called the formaV.  The forma wand is placed intravaginally and radiofrequency energy is distributed into the vaginal tissue and around the urethral sphincter and perineum.  The infusion of this energy is painless even in our most advanced age patients.  The infusion of energy leads to contraction of muscle, rebulking of tissue, relubricating of tissue and resetting the vagina to the proper angle. It can also facilitate are lengthening of the vagina.   It is a wonderful procedure that is usually done in a series of three monthly in office treatments at 10min, 15min, and 20 min.  Here is a helpful length.   Recovery time is minimal.  The biggest possible restrictions would be no hot tubs or perhaps intercourse for two weeks.

Would vaginal rejuvenation help with tightening after total hysterectomy?

Answers (16)

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