Will vaginoplasty address urine and rectal prolaspe?

I am 52, and have 3 grown children. I had an Hysterectomy 3 years ago and has been diagnosed with rectal prolaspe. My pelvic floor muscle is also damanged, and well as slight urine problem when I cough and jump. Will a Vaginoplasty address all those issues? How much would that cost? will it be local or general anesthesia? I am trying to avoid doing several surgeries. I like to do an all inclusive surgery. I am in Northern California, and can travel within California.

Doctor Answers 3

Rectocele and stress incontinence can be addressed at time of vaginoplasty

Rectocele and rectal prolapse although sound similar are often used incorrectly by doctors. This is an important distinction because they mean different problems and are managed very differently. A rectocele where the rectum bulges into the vagina is the most common scenario. Think of a wall that separates the rectum from the vagina that has weakened and stretched following childbirth. When you bear down or do something strenuous that pressure pushes the rectum forward causing a bulge that protrudes through the vagina. Over time this bulge increases in size and may take may years before you become aware of it. If this is what you are experiencing then yes this can be addressed at the same time as your vaginoplasty. The stress urinary incontinence that you describe can also be addressed at the time of surgery however it is a separate procedure called a midurethral sling and does not add much time to the surgery. Your doctor should to clarify the type and severity of your incontinence prior to agreeing to do a sling procedure. Although the vaginoplasty is not covered by insurance, your incontinence procedure would be covered.

Bay Area Urogynecologist
5.0 out of 5 stars 10 reviews

Rectal prolapse or rectocele?

Rectal prolapse is not the same as rectocele. The first is a prolapse of the entire rectum through the anus. The second is a bulge of the rectal wall into the vaginal canal with nothing happening at the anus. Rectal prolapse is treated with rectal resection and/or fixation - it's major surgery done through the abdomen or through laparoscopy. It has nothing to do with vaginoplasty. You would want to have this done first. Vaginoplasty simply tightens the vaginal canal. It is not designed or intended to improve urinary leakage.

Vaginoplasty for rectal prolapse and urine incontinence

Although "vaginoplasty" itself does not address these issues, repair of bladder and rectal prolapse can be, and most frequently are, addressed at the same time. The good news for the patient is that everything is taken care of during the same operation and the recovery time is relatively no different. Please read on for more Vaginoplasty details: 

Your story and concerns are in good company with almost ever other patient that undergoes vaginal rejuvenation and turns out to be an enormous (sexual) self-confidence booster thereafter.
Vaginal Rejuvenation (a.k.a. vaginoplasty) is performed to reconstruct (more or less tighten) the vaginal vault most commonly following natural vaginal birth. Again, like most other surgery, the experience of and “attention to detail” (a.k.a. compulsiveness) by the surgeon is the most important element to achieving a good result. Although there is some merit to Kegal exercises, many patients with laxity after natural vaginal birth fail to obtain sufficient tightening. For these patients, vaginoplasty, tightening of the vaginal vault muscles from the introits (opening) up to the cervix is typically the best solution. The procedure is commonly done on an outpatient basis in about an hour under either deep intravenous sedation or general anesthesia. Recovery is gradual but probably the worst for the first 4-5 days until swelling starts to reside then patients feel better each day thereafter. Sexual activity is usually refrained for about 6 weeks. In a study I was involved in back in 2009, 87% of vaginoplasty patients were satisfied with their results and had an improved sexual experience post-operatively. Typical (all inclusive) fee at my office/surgery center is $8500. Glad to help.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 102 reviews

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.