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

Question

I had a rectocele repair & the surgeon told me that he would be able to acheive the same level of tightening doing just the rectocele repair without doing a cystocele repair. I opted not to do the cystocele repair as I have been told my cystocele is minor. After surgery the surgeon said that I was back to "pre-baby" or better. When I had my follow up with my OBGYN she said it is not possible to get back to pre-baby and that the same tightening can't happen without cystocele repair..whos right?

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

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.

Burcak Tok, MD · Answer

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.

Mark N. Scheinberg, MD · Answer

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.

Oscar A. Aguirre, MD, FPMRS · Answer

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,

Ozgur Kartal, MD · Answer

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.

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

Answers (9)

Answer: Yes, it is possible to get pre-baby tightness, but with a vaginoplasty.

Answer: Yes, it is possible to get pre-baby tightness, but with a vaginoplasty.

Answer: Vaginal Rejuvenation

Answer: Vaginal Rejuvenation

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Everything you need to know about Vaginal Rejuvenation

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

Answers (9)

Answer: Yes, it is possible to get pre-baby tightness, but with a vaginoplasty.

Answer: Yes, it is possible to get pre-baby tightness, but with a vaginoplasty.

Answer: Vaginal Rejuvenation

Answer: Vaginal Rejuvenation

Browse related questions

Recommended reading

Everything you need to know about Vaginal Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.