Will Vaginal Rejuvenation Help Fix My Slight Cystocele?
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Doctor Answers 5
Vaginal Rejuvenation vs. Pelvic Reconstruction
Thank you for your question. The decision for surgery or not is a very personal one. There are several non surgical options. A cystocele is different from prolapse of the pelvic floor, but it does not hurt to do Kegel exercises. Just as one exercises other muscle to keep in shape and preserve tone. A second non surgical option could be ThermiVa. A radiofrequency treatment that can tighten the tissues and may help with mild prolapse. As long as the bladder has not descended too far down the vagina. Has a discussion about whether of not you are a candidate with a Board Certified Surgeon.
Cystocele and Vaginal Rejuvenation
Thank you for your question. With so much terminology and different types of repairs both invasive (surgical) and non-invasive confusion is quite common. Part of the reason is when we evaluate the vagina in its entirety there are many areas (compartments) that need consideration hence the multitude of anatomic names and procedures associated with them. Having said this vaginal rejuvenation is performed for tightening of the vaginal opening (introitus) and would indeed involve a "perineum repair" as you indicated. Repair of a cystocele would not be addressed with that procedure and likely have no real effect on your cystocele, positive or negative. Regarding repair of cystocele's, rectocele's, uterine prolapse, etc. the question is frequently asked as to whether they "need" to be repaired. The basic answer is if it is not causing you problems or affecting your quality of life then nothing "needs" to be done. If you are however experiencing negative effects to your quality of life then proceeding with repairs is wise. Regarding you concern over the use of a mesh implant this is not necessary for cystocele repairs and can be nicely accomplished with your own natural tissue. A open conversation with your surgeon, preferably an experienced gynecologist/urogynecologist with vaginal repairs will help you with these decisions. Wishing you well moving forward.
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You don't need mesh. An expertly conducted vaginoplasty with pelvic floor reconstruction will fix you.
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.