Can you have vaginal rejuvenation surgery to increase vaginal tightness if you have had a 4th degree tear?

Question

Nicole E. Williams, MD, FACOG, FACS · Answer

Thank you for your question.  If possible, seek the advice of a Urogynecologist.  He or she may recommend specialized testing of the rectal muscle prior to doing surgery to determine the extent of any damage and perform a surgery specifically tailored to your needs.   Good luck in your search!  ~Dr. Williams

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!

Wesley Anne Brady, MD · Answer

Short answer? YES! You can absolutely have a vaginal rejuvenation or vaginoplasty surgery to increase tightness and in turn sexual gratification regardless of any tearing. In order to definitively answer a question for each patient, it is recommended to have a physical exam. At times, I've had patients undergo excision of vaginal scar tissue in addition to their Vaginal Rejuvenation surgery.Hope this helps!

E. Jacob Simhaee, MD, FACOG · Answer

the answer is Yes.Then I ask you what is your problem, what is bothering you and you want to correct and enhance.Depend on your answeres and pelvic finding then you might need a surgical approach or a Non surgical one.Good luck and best of health

George Shashoua, MD · Answer

The answer is yes. You can absolutely have vaginal
rejuvenation surgery after an episiotomy or a 4th degree tear repair.
If there is also relaxation of the posterior vaginal wall or a rectocele, a
formal prolapse repair may also be recommended at the time of rejuvenation
surgery. If there are issues with a disruption to the sphincter surrounding the
anus, resulting in fecal incontinence, anal sphincteroplasty or tightening of
the anal sphincter may also be done. Follow the link to read more about vaginal
rejuvenation.

Oscar A. Aguirre, MD, FPMRS · Answer

A 4th degree tear is damage of the anal sphincter and rectum at the time of a traumatic vaginal delivery. Since you likely have other vaginal support issues that would need to be addressed at the time of your vaginoplasty you should see a Board Certified Urogynecologist with experience in both Reconstructive and Cosmetic vaginal surgery. Your first pelvic repair is most likely to be the most successful one so select your surgeon carefully.See linl below for advice in choosing the right surgeon.

Otto Joseph Placik, MD · Answer

Hello, and thanks for your question . Yes, you can have vaginal rejuvenation following a 4th degree tear . A fourth degree tear  is a tear that involves the skin and muscle in your oerineum that extends into the anus.  The surgery involves  narrowing the scarred and redundant  tissue in the vaginal/introitus opening and stitching the torn muscles back together using dissolveable sutures . It is very important that you have a physical examination by an expert in the field who performs this procedure frequently ! Wish you the best.

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

4th degree tears leave significant scar tissue, but this poses no problem in the performance of vaginal rejuvenation in the hands of an experienced vaginal surgeon. You would need to have a full pelvic evaluation prior to surgery to make sure that you don't have other pelvic floor damage which would need to treated at the same time.

Leita Harris, MD · Answer

You can certainly have vaginal rejuvenation surgery to increase tightness after a 4th degree tear. 4th degree tears, and vaginal delivery in general, especially of "big babies" or after "pushing for a long time" can loosen and weaken the opening of the vagina (introitus) which can lessen sensitivity and overall enjoyment during intercourse because it "feels loose". The area can be tightened surgically OR in office using laser. Which would be appropriate depends on the degree of laxity that is present.

Laura A. Katz, MD · Answer

Hello there.  When you get a fourth degree tear, it means that the tissue has torn all the way through to the rectal mucosa.  Later this can cause sagging, fecal incontinence and general discomfort.  The kind of surgery you would need to fix the damage depends on your symptoms and the persisting defect.  If you are having problems after your fourth degree, the proper surgery to fix this would be to do a sphincter repair and a rebuilding of the perineal body.
As far as if it is safe to get a vaginal rejuvenation after having a fourth degree, you must wait at least three months after the injury to make sure the area is healed.  The forma V technique for vaginal rejuvenation is a very safe radiofrequency technique that increases muscle tightness, tightens skin, resets the pelvic angle, increases lubrication, bulks the vaginal tissue and increases sexual pleasure.

Can you have vaginal rejuvenation surgery to increase vaginal tightness if you have had a 4th degree tear?

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