I have severe urinary incontinence issues following childbirth. With the 2nd pregnancy I had a prolapsed bladder and vulva vericosity. My current physician recommended surgical mesh. I would like more information regarding vaginoplasty and the effects on incontinence, as well as tightening the vaginal walls. I would like to feel more youthful and not worry about bladder control. I would also like to get more information on gummy bear implants including pricing. Do you offer gummy bear implants?
April 9, 2017
Answer: Vaginoplasty will not help YOUR urinary incontinence I get this question frequently. Incontinence, in your situation, is the result of damage to the anterior compartment of the vagina - the supports to the bladder are broken, the bladder is sagging, and the bladder neck is unstable. If the bladder is not sagging too badly, a sling (mesh or nonmesh) at the bladder neck can fix the incontinence with a high rate of success. However, if the bladder is sagging badly, it is usually necessary to support the rest of the bladder with additional work on the anterior compartment to prevent issues related to sagging. There are other types of incontinence for which surgery is not the best choice, but yours appears to be classical stress incontinence. Vaginoplasty is a procedure on the posterior compartment of the vagina and perineum and it does not stabilize the bladder neck or damaged bladder supports in any way. This won't improve your incontinence directly. However, women that I have operated with vaginoplasty consistently note improved pelvic support after vaginoplasty because they have a greatly narrowed distance between the levator muscles. This means that the loosened bladder has less "room to move" and this sometimes provides mild improvement of incontinence. Also, vaginoplasty increases the effectiveness of kegel exercises. So if you've tried them in the past and failed, you might see improvement of incontinence afterwards if you work with a pelvic physical therapist.
Helpful
April 9, 2017
Answer: Vaginoplasty will not help YOUR urinary incontinence I get this question frequently. Incontinence, in your situation, is the result of damage to the anterior compartment of the vagina - the supports to the bladder are broken, the bladder is sagging, and the bladder neck is unstable. If the bladder is not sagging too badly, a sling (mesh or nonmesh) at the bladder neck can fix the incontinence with a high rate of success. However, if the bladder is sagging badly, it is usually necessary to support the rest of the bladder with additional work on the anterior compartment to prevent issues related to sagging. There are other types of incontinence for which surgery is not the best choice, but yours appears to be classical stress incontinence. Vaginoplasty is a procedure on the posterior compartment of the vagina and perineum and it does not stabilize the bladder neck or damaged bladder supports in any way. This won't improve your incontinence directly. However, women that I have operated with vaginoplasty consistently note improved pelvic support after vaginoplasty because they have a greatly narrowed distance between the levator muscles. This means that the loosened bladder has less "room to move" and this sometimes provides mild improvement of incontinence. Also, vaginoplasty increases the effectiveness of kegel exercises. So if you've tried them in the past and failed, you might see improvement of incontinence afterwards if you work with a pelvic physical therapist.
Helpful
April 9, 2017
Answer: What to do about urinary incontinence and vaginal laxity after childbirth(s) For you specifically, my recommendation is to consult with an experienced urogynecologist for the best incontinence procedure to fit your needs. Most likely, this will be covered by insurance, depending on what insurance your individual practitioner accepts. As some insurers pay so poorly, individual practitioners may not accept some insurance as payment. However, no insurance covers vaginoplasty, a specialized aesthetic and tightening surgical procedure to improve sexual enjoyment and function, and improve vulvo-vaginal aesthetics. For this, you would need to visit a gynecologist who has been specially trained in vaginoplasty, and this separate (sexual tightening and aesthetic) procedure will not be covered by insurance. RealSelf's Web reference seen below may help further...Best,Michael P Goodman, MDDavis, Northern CA, USA
Helpful
April 9, 2017
Answer: What to do about urinary incontinence and vaginal laxity after childbirth(s) For you specifically, my recommendation is to consult with an experienced urogynecologist for the best incontinence procedure to fit your needs. Most likely, this will be covered by insurance, depending on what insurance your individual practitioner accepts. As some insurers pay so poorly, individual practitioners may not accept some insurance as payment. However, no insurance covers vaginoplasty, a specialized aesthetic and tightening surgical procedure to improve sexual enjoyment and function, and improve vulvo-vaginal aesthetics. For this, you would need to visit a gynecologist who has been specially trained in vaginoplasty, and this separate (sexual tightening and aesthetic) procedure will not be covered by insurance. RealSelf's Web reference seen below may help further...Best,Michael P Goodman, MDDavis, Northern CA, USA
Helpful