Sex better before vaginoplasty. What do I need to have done to fix this?
Doctor Answers 3
Revision surgery vaginoplasty
I agree with Dr Goodman and Dr Pelosi you need a surgeon who understands pelvic floor reconstruction. The reason why the subspecialty of urogynecology was made is the average plastic surgeon and gynecology don't always under stand reconstruction. That being said not all urogynecologists understand sexual function. You need s sexual function specialist which is usually a gyn or urogyn who specializes in cosmetic vaginal surgery.
From my experience and from what you have told me --- I doubt exercises are going to help... but the good news is its not going to hurt the only thing you are wasting is time. You are not going to want to hear this but you need to be examined by someone who understands pelvic floor sexual function and anatomy. You most likely will need another surgery. Choose a surgeon wisely and someone who has experience, expertise and gets great results.
John R Miklos MD
Urogynecologists & Cosmetic Vaginal Surgery
Atlanta ~ Beverly Hills ~ Dubai
Not tight enough after vaginoplasty: What To Do??
I know that is a lot of work for you to find someone with these quualifications- you may neeed to travel- but this is the only honest answer I can give you, no matter how many times you ask.
Michael P Goodman MD
Davis, CA, USA
Words cannot replace physical examination for assessing vaginal caliber for revisions
Once you've had a vaginoplasty, the anatomy has been altered. If you sense that your are loose, the normal relationships and locations of muscles and supports are no longer consistent. Since the vaginal canal is cylindrical, anything and everything in the 360 degrees of the canal may account for the sensation of looseness. I would recommend an exam with an expert in vaginoplasty and pelvic reconstructive surgery to make sure nothing is missed.
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