Prolapse - can I do a vaginoplasty?

Question

I have been told I have stage 2 cystocele and every doctor refuses for surgery and tells me to see a physical therapist and use a pessary. I’m 35 and don’t want to live like that. I have no symptoms at all, no incontinence I just don’t like the look of it and I don’t like the wideness. I just want to do a vaginoplasty and pay for it myself, I don’t really care if the prolapse is there as long as I don’t see it. Can I do vaginoplasty?

Falguni Patel, MD, FACOG · Answer

I do believe it’s been summed up by others, but a general gynecologist who does not perform cosmetic procedures will tell you no surgery is needed yet.  Often, a prolapse that reaches 3rd to 4th degree will be recommended for surgery.  In your case, if the appearance or functionality is not to your liking then a surgical correction of vaginoplasty (tightening the entire length of the vagina, often with a cystocele correction if needed) and a perineoplasty (tightening the opening) will achieve an aesthetically “closed” vagina which is also more snug during intercourse.   It is best that you get evaluated by a cosmetic gynecologist for such a surgery.    This surgery is performed on a weekly basis in my practice as the desire for improvement in appearance and function is top priority for many women.   Many of my patients fly in internationally and make a mini vacation stay out of their surgery.  But I do feel recovery can be rough for about a week and best to travel with someone if you plan to have the surgery away from home.  Good luck with everything!

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

You can certainly do a vaginoplasty and skip the cystocele repair. Traditional docs aren't trained in vaginoplasty so you shouldn't be surprised by their comments. If you fly in for surgery, you can fly home 1-2 days later and resume sex as soon as 8 weeks later. If you want to discuss details, schedule a virtual consultation.

Mark N. Scheinberg, MD · Answer

Thank you for your questionVaginoplasty originally meant creating a new vagina but since it is defined as "plastic surgery of the vagina". It can refer to any of a number of procedures that will change the vagina. The vagina is connected six ways (-outlet, apex, lateral sides, anterior or bladder side and posterior or rectal side) and each of these may need to be addressed. Absolutely!! , your complaint can be corrected by addressing the defects on the anterior (or bladder) side to correct the cystocele and the posterior (rectal) side which is usually the culprit of the sensation of wideness. These defects are often referred to as prolapse. Anyone can say they do vaginoplasty and have it mean anything they want it to mean.  You need to do your homework. You need to find a surgeon trained in "site specific defect repair" which will fix your issues and I believe gives the most uniform and solid results.

Ebru Unal, MD · Answer

Hello, vaginal laxity signs are felling vagina large and having cytocele and rectocele. vaginal tightening surgery would correct the vaginal enlargement, and also correct the cyctocele. pelvic muscle exercises would help you to feel tighter and it may be combine with surgery. I do vaginoplasty under local anesthesia and place Aptos intimate threads to the anterior and posterior vagina and correct the muscular defect if any. the procedure takes 1.5 hours. If your laxity is not much to need removal of the tissue Aptos threads placement with our cutting the vagina would make you feel tighter and correct the cyctocele.

Mehmet Bekir Sen, MD · Answer

Vaginoplasty operations can sometimes be performed , depending on the patient's request - to be narrower and fresher, Stage 2 cystocele is also benefit from this operation as it corrects the vaginal canal axis. Beauty always comes from within you.
Thank you
Dr. Mehmet Bekir SENGenital Aesthetic Expert

Michelle Jones Singer, MD · Answer

Absolutely, a vaginoplasty can be performed without a cystocele correction. Particularly if you are symptom-free. Discuss your concerns with a skilled urogynecologist or cosmetic gynecologist.

Burcak Tok, MD · Answer

Hello, cystocele means bladder sagging in vaginal anterior wall weakness. With cystocele repair, narrowing can be done with vaginoplasty surgery.

Michael A. Reed, MD · Answer

The short answer is yes you’re allowed to do what you choose to do with your body. This is the exact reason why “Cosmetic Gynecology” exists. Gynecologists “general gynecologists” deal with dysfunction. Meaning things have to be broken in order to be treated. Cosmetic gynecologist are different.  Not only are we concerned about aesthetics, but also about function. If you’re in hopes of a tighter vagina, by having a vaginoplasty, which tightens the inner barrel of the vagina lifts the outside and all repairs are done in an aesthetic manner, then do it!  If you wish to have a more elegant vulva in your opinion, you’re entitled to do so. I suggest you find a well-trained cosmetic gynecologist and explain your concerns and your desired outcomes and let your dreams come true.
Best of Luck! Dr Michael Reed aka @thecosmeticgyn

Prolapse - can I do a vaginoplasty?

Answers (8)

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