Is it possible to get to "pre-baby" tightness without cystocele repair?

It is difficult to answer this question fully without performing an examination. Usually, if you have both a cystocele and a rectocele, they should both be repaired in order to achieve the desired result. Having said that, there is another option to further induce vaginal tightening. You could opt for a non surgical formaV or Votiva vaginal rejuvenation. This is a radiofrequency procedure that is done in the office. it induces collagen formation, tissue bulking, muscle contraction and tissue tightening which can be very effective. There is no discomfort and the procedure only takes 10 to 20 minutes and the results continue to evolve for up to three months after the procedure.

Hello "PinkDiamonds..." Neither of them is right, but both speak as generalist Ob-Gyns. Generalist Ob-Gyns are well trained to provide obstetrical care, do routine office care including annual exams, treatment of vaginal disorders, do minor and major surgeries (D&C; hysteroscopy; laparoscopic surgery, hysterectomies, etc. etc.) Their Residency training equips them to perform appropriate surgery for symptomatic rectoceles which cause defacatory dysfunction (vaginal hernia causing a bulge in the vaginal floor and difficulty evacuating stool, aka "Posterior Repair") and also to resolve anterior vaginal hernias (cystoceles) which cause difficulty with intercourse and/or urinary complaints. Both of these surgeries are what is called a "site-specific repair." These are hernia repairs, and as such they are effective in relieving hernias. However, NEITHER ARE VAGINAL TIGHTENING OPERATIONS. Neither will get your poor vaginal canal, with muscles separated and damaged by passing that "cantaloupe-head" thru your poor unsuspecting vajayjay, back to "...pre-baby shape." In reality, nothing will. Childbirth is a fait d' accompli." BUT-- there is hope. A "Cosmetic Gynecologist" (an Ob-Gyn who has taken special post-grad course(s) in vaginal tightening procedures or who has performed many many specialized tightening procedures) is trained and (hopefully) skilled in the procedure of "Vaginal Reconstruction" (sometimes called "Vaginoplasty".) Specific procedures are required: 1. A "levatorplasty" (aka Vaginoplasty"), re-approximating the levator musculature in the mid vagina. 2. Surgical removal of all the gritty dense non-viable tear or episiotomy--produced scar tissue from underneath the surface of the skin of the outer vagina and vulvar vestibule. 3. A careful re-building of the vulvar vestibule, perineal body and perineum, re-approximating the "stretched-out" bulbospongiosis, bulbocavernosis, transverse perinealis and peri-anal musculature and, 4. A careful, aesthetic reconstruction of the vaginal opening and perineum (sometimes including hemorrhoidal tags). THIS is what is termed a "Vaginal Reconstruction and, especially if you are good about doing ongoing pelvic floor muscle-strengthening exercises, is the ONLY way to get close to a "pre-baby" vagina. Make no mistake, if your surgeon is not doing all of ##s 1-4 above, (s)he is most certainly not performing a vaginal tightening procedure. REALLY skilled and experienced Cosmetic Gynecologists will do this procedure under "local "anesthesia, which is safer, less expensive, and where the surgeon can get your vagina the most tight, since (s)he can really get the muscles tightly back together and there is much less worry about nerve damage when performed under "local" anesthesia. Google "Vaginal Reconstruction" or "Vaginoplasty" along with "Cosmetic Gynecologist" and see what comes up Do your "due diligence" for best results! Also, Real Self's Web Reference below contains additional useful information

Cheers, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA