Perinoplasty VS Vaginoplasty? (Photo)
Doctor Answers 4
If you've had kids, you need a vaginoplasty. If you haven't had kids, you might only require a perineoplasty.
Difference between Vaginoplasty and Perineoplasty
Vaginoplasty versus Perineoplasty ?
Vaginoplasty versus Perineoplasty? A rather simple explanation, vaginoplasty addresses the vaginal canal and the opening, perineoplasty the perineum; both next to each other representing different anatomical structures. Vaginoplasty usually refers to a surgical correction, reconstruction of lax and attenuated vaginal wall structures. Multiple factors may affect the function and health of vaginal walls but mainly it is the stretching during vaginal deliveries or a childbirth ( even if followed by a cesarean delivery). Depending on the extend of vaginal wall laxity and desire of the patient, the diameter of the tubal structure ( vagina) is surgically restored. Vaginal rejuvenation, which could be easily confused with vaginoplasty represents a broader spectrum of management options. It may include surgical as well as non-surgical approach such as laser ( Monalisa Touch), radio-frequency and other technologies to tighten and rejuvenate the tissue. Treatment of atrophic vaginal walls with hormonal agents in menopausal or in premenopausal, estrogen deficient women is considered a form of a vaginal rejuvenation as well. In your situation, a surgical reconstruction of the vaginal canal would most likely be the most reasonable approach, in addition to a perineoplasty procedure. Perineoplasty refers to a surgical reinforcement of the perineal muscles and the entire perineum which extends from the opening of the vagina to the opening of the rectum. Following childbirths, perineal muscles as well as the connective ( supportive) tissue is frequently stretched and lax leading to a wider vaginal opening and a shorter perineal body. In order to optimally restore the post childbirth anatomical changes, both vaginoplasty combined with perineoplasty will most likely provide the most desired outcome.
Yvonne Wolny MD
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What's the difference between perineoplasty and vaginoplasty?
Picture the vagina as a tube. The Vaginoplasty makes the entire tube smaller and tighter. The perineoplasty tightens the opening to the tube or the outside. (the outside part of where your vagina and anus are is called your perineum - "neum" means to empty or evaculate and "Peri" means around).Looking at your photos you may also want labiaplasty performed for your inner labia or labia minora. When the labia minora extend past the outer lips or labia majora some women have discomforts.
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