Does vaginoplasty help with prolapse? (Photo)

Hello, we would like to help you. This sagging can be fixed by vaginoplasty, in vaginoplasty we use the techique as rectosel repair. They can be done at the same time

Prolapse is caused by damage to the support system of the vaginal walls and pelvic organs. Vaginoplasty doesn't fix any of these things. Vaginoplasty tightens the muscles of the vaginal canal (aka the levator muscles or the kegel muscles) as well as the muscles of the vaginal opening (aka the perineal muscles). However, when damage to the posterior vaginal wall is present (that's the wall between the vagina and the rectum), it causes a bulge called a rectocele and that bulge needs to be fixed during your vaginoplasty because if it isn't fixed, the vaginoplasty will fail. Not every doctor that knows how to do a vaginoplasty knows how to fix a rectocele. Similarly, not every doctor that knows how to fix a rectocele knows how to do a vaginoplasty. Do your homework. Do your virtual consults with an expert in both procedures and you will have the best chance for a great result.

Regarding a mild stage 1/2 vaginal prolapse. I appreciate your openness in discussing this concern, which is more common than many realize.
Vaginoplasty indeed is an effective solution for repairing a mild stage 1/2 vaginal prolapse. This procedure is designed to tighten and reinforce the vaginal walls, thereby correcting the prolapse and restoring the vagina to its more natural position and function. During vaginoplasty, excess vaginal lining may be removed, and the surrounding soft tissues and muscles are tightened. This not only addresses the prolapse but can also enhance vaginal muscle tone and control.
As a specialist in genital aesthetic surgery, I prioritize a personalized approach to treatment, considering not just the physical aspects but also the emotional and psychological wellbeing of the patients.
Best regards,
Dr. Mehmet Bekir ŞenGenital Aesthetic Surgeon

Your situation is common and this is a very good question. Vaginoplasty alone does not correct prolapse. The prolapse itself would need to be corrected in conjunction with a Vaginoplasty. I recommend you consult with an advanced gynecological surgeon with experience.
Hope this helps!

When talking about prolapse, we need to know if it’s an anterior prolapse like a cystocele or a posterior prolapse like a rectocele. A vaginoplasty is essentially a posterior repair, which is covered by insurance when you do it in a medical practice with a urogynecologist. If you are looking to go the cosmetic route, then a cosmetic gynecologist can certainly do a vaginoplasty on you, which would take care of a posterior prolapse. However, it is essential to understand which one you have in order to determine the best course of action, because your problem may be covered by insurance in a hospital. You should seek out the counsel of a urogynecologist to determine what type of prolapse you have and if it’s covered by insurance. I hope this helps.

Vaginoplasty does not repair a rectocele however a rectocele can and should be repaired at the same time as a vaginoplasty. I suggest you consult an experienced cosmetic gynecologist or urogynecologist that is able to repair a rectocele and do a vaginoplasty together.

Thank you for your questionThe term vaginoplasty means different things to different people. Originally it meant the making of a new vagina. The pure definition is plastic surgery of the vagina but that does not specify which procedure(s) are being performed. The vagina is attached on six sides( orifice, apex , anterior or bladder. Side, posterior or rectal side, and the two lateral sides). These are each treated or repaired differently. Do your homework and find a surgeon that can explain these procedures and look for their reviews and before and after photos.

Great question.
If you have prolapse then you should have it repaired at the time of your vaginoplasty. No all women with laxity have prolapse and not all women with prolapse have laxity. I would recommend you consult with an expert reconstructive and cosmetic vaginal surgeon who would do both for you.
From your photo I can tell you have a rectocele that needs to be repaired at the time of your vaginoplasty. You may also have a cystocele that should be repaired if significant and symptomatic.
Best of luck,

As I understand from the photo, you have a rectocele especially. These complaints can be corrected with vaginoplasty surgery.

Q: Will vaginal wall reconstruction correct the condition presented in the photo?

A: In general, if you do not have symptoms (urinary incontinence, fecal incontinence, pain, and pain during sexual vaginal intercourse), you will not need surgery and only close follow-up.

If you decide to have surgery, the attached picture indicates that there are the following abnormalities that should be repaired:
1. sub-, peri-, and para-urethral reconstructions,
2. lateral-posterior vaginal wall reconstruction,
3. vaginal outlet reconstruction will close the gaping vaginal opening,
4. posterior perineal (the crotch) reconstruction (I published an article on modified posterior perineal reconstruction, which is available in the medical literature).

With regards,
Prof. Dr. Adam Ostrzenski
USA