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

The repair of a cystocele of any type is useless as a vaginal tightening procedure. A loose vagina is not loose because of a mildly saggy bladder. A loose vagina is loose because the levator muscles have become widely separated and their supports have become damaged. These muscles run along the posterior and lateral portions of the vaginal canal and fixing them and their supports is what creates vaginal tightness. Rectoceles occur behind the levator muscles and they can push them apart. Repairing a rectocele will not tighten the vagina unless the levator muscles are fixed at the same time. This is NOT part of a standard rectocele repair. So maybe your rectocele repair tightened the vagina if it included muscle tightening and if not, then not, but cystocele repairs wouldn't help.

Hello, your feeling during sexual intercourse is very important after rectocele surgery. If you feel the tightness in the pre-baby period, it means that the operation has been successful. However, if there is a feeling of looseness after the operation, cystocele operation will also be required. However, in vaginal tightening operations, we do not generally perform a procedure for the anterior wall if the cystocele is small. There is no right or wrong here. The patient's condition is important. I wish you a good day.

Thank you for your questionThe degree of "looseness" from the anterior vagina (cystocele) and posterior vagina (rectocele) will vary from woman to woman depending where defects occur but, in general, approximately 70% of looseness can be attributed to the posterior and 30% to the anterior; therefore, one may achieve significant results doing the rectocele alone but doing both will maximize the results. If you are looking for "pre-baby" your best chance is doing both.

It is fine to leave a small, insignificant cystocele alone since correcting this won't make you feel tighter. A rectocele repair alone, without a vaginoplasty, will not make your vagina feel as it did pre-baby. It seems that your surgoen repaired your rectocele but didn't do a vaginoplasty.
You should consult with a reconstructive and cosmetic vaginal surgeon with expertise in vaginal tightening.
Best of luck,

Hello . There is no rule that cystocele and rectocele should be performed together in vaginoplasty surgeries. If you do not have a cystocele, it would be better not to do it. Here you can know best. Compare the situation before and after surgery. If you feel your vagina tighter during sexual intercourse than before the surgery, your surgery was successful.

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

hi pinkdiamons89cystocele has several stages (1-4) but stage 4 prolapse is more severe, if your case is mild (stage 1) there is laser technology for this condition to improve prolapse and vaginal tightening, with very satisfactory results.

A "pre-baby" level of vaginal relaxation (stage 0/I) is achievable by treating the most prominent area of prolapse. Your subjective experience (satisfaction) with the repair is the most relevant outcome measure.