Do I need vaginal reconstructive surgery or a urologist? I'm 34 and have had 4 vaginal deliveries. Cystocele present. (photos)
Doctor Answers 8
Candidate for Vaginal Surgery
Vaginal Rejuvenation/ Laser Vaginal Rejuvenation
Most OBGYN practitioners will not perform this procedure if it is not medically necessary. The cystocele can be corrected through a mesh, sling or a burch procedure which is covered by insurance. These procedures only help alleviate the symptoms of stress urinary incontinence and nothing more.
If you are looking into having vaginal reconstruction to bring back the muscles and support tissues back, that procedure is considered cosmetic and is not covered through insurance, due to the fact that the doctor is not only using your own natural tissues to support the bladder but the doctor will also tighten the muscles back to how they were prior to having children. You will need to speak to a Cosmetic surgeon who specializes in Laser Vaginal Rejuveation.
Do I need cosmetic genital surgery?
You might also like...
A primer on Cystocoeles- "should I have surgery?"
"...If it ain't broke don't fix it." No need to have surgery just because you have a cystocoele, unless there are secual or urinary problems significant enough to cause a "...bother..."
Michael P Goodman, MD
Davis, CA, USA
Your vagina looks completely normal in the photo
I'm an expert in pelvic reconstructive surgery, but I can't see your cystocele in the photo. Your gynecologist's role is to screen you for disease and fix medical problems, not to delve into your perception of what your vagina looks like. That said, your vagina looks completely normal and every woman who has had children has slight loosening of the vaginal supports unless they delivered by cesareans.
Without a proper physical examination, it is very difficult to ascertain the degree of prolapse or pelvic floor dysfunction. The little "scar tissue" area you are referring to is most likely just normal vaginal ruggae that enlarged with childbirth. These typically do not cause discomfort but can be removed for aesthetic purposes if the patient desire so.
you may be a very good candidate for a non-surgical vaginal tightening procedure which would also address mild issues of urinary stress incontinence.
Best of luck
Best of Luck,
Dr Robert Moore, FACOG, FPMRS, FACS
Urogynecology/Cosmetic Vaginal Surgery
Atlanta - Beverly Hilks- DUBAI
Thanks you for sharing. To answer your questions:
1) I can not see your cystocele. 2) The two balls of either side or remnants of your hymenal ring - this is normal, this is NOT scar, you don't need to do anything about it unless it bothers you --- then they can be resected to make it look smooth 3) The shape of your vagina looks normal 4) Your Ob/Gyn sounds very honest-- you never need to fix a cystocele unless it is giving you symptoms.
You are not experiencing any problems so don't fix the cystocele to do so would be unnecessary. Your ob/gyn should NOT say anything about the appearance of the vagina if there is nothing wrong with it. If you mean aesthetics of your vagina or vulva he still should not say anything because aesthetics is a personal decision only you can make. Only you can say whether you don't like the way it looks.
No surgeon should tell a patient they need a nose job either......only the patient should make that decision and then the surgeon can make recommendations pro or con.
John R Miklos MD
Urogynecology & Cosmetic Vaginal Surgery
Atlanta ~ Beverly Hills ~ Dubai
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.