Please explain what vaginal rejuvenation and tightening by URO-GYN with bladder lift is?
Doctor Answers 9
Urogynecologist with training in Aesthetic Surgery
#VaginalRejuventation, #ThermiVa, #MonoLisaTouch
Candidates of Vaginal Rejuvenation or #Vaginoplasty surgery are women who desire a more youthful appearance and function of the vulvas and vaginal area. For some women, the effects of childbirth, aging, trauma, and/or genetics, causes their vaginal tissue and muscles to become stretched, which results in loss of strength and tone in the vaginal area. This can lead to unsatisfying intimate contact and discomfort.
These surgeries are best performed by carefully selected Plastic Surgeons or Gynecologists. As this is not a very common procedure it is important that you choose a specialist who has significant experience in these procedures, such as Dr. Nichter or Dr. Horowitz at the Pacific Center for Plastic Surgery to get the best result with the least number of complications.
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Confusion over vaginal rejuvenation, uro-gyn and mesh
Best advice for you: What is the problem you're having? If it's urinary incontinence (leaking urine), get checked by your gynecologist. Don't assume that mesh is the only treatment or even the appropriate treatment for all women with incontinence.
As for other stuff: Uro-gyn is not a procedure, it is the nickname for urogynecology - a subspecialty of gynecology that focuses on the management of urinary incontinence and other pelvic floor issues. Vaginal rejuvenation is not a treatment for urinary incontinence, it's synonymous with vaginoplasty - a surgical tightening of the vaginal canal for women who feel loose in the vagina usually after childbirth.
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Urogynecology specialist vs vaginal rejuvenation
What is the difference between vaginal rejuvenation and tightening with a bladder lift by an Urogyn?
Women who seek vaginal rejuvenation surgeries and treatment by an urogynecologists usually have symptoms related to damage from childbirth including bladder leakage, bowel function problems (constipation, hemorrhoids, having to manually assist with pressure either inside or outside the vagina, shifting or pressing abdomen to help go), problems with tampons staying in and sexual function problems including decreased sensation for one or both partners, gas-like noises with intercourse and partner fall-out due to weak muscles at the vaginal opening. Feeling too loose or wide, or too smooth are also concerns women seek treatment for.
There are the traditional pelvic reconstruction techniques done by the urogyns that will address the bladder and sometimes the bowel function problems, but most of the time insurance doesn't allow repair for sexual function problems.
The seven vaginal rejuvenation procedures available in the literature address the sexual function problems as well as those of bowel function. There are 2 procedures to address the smooth vagina, which is either due to excess vaginal secretions or loss of vaginal ridges called rugae: the Partial Cervical Gland Ablation reduces the number of cervical glands and therefore reduces the vaginal secretions, and the Vaginal Rugation Restoration or Rejuvenation procedure (VRR) re-creates the vaginal ridges with a laser.
The other five address the sensation of being too wide or loose, as well as bowel function, air and tampons falling out. The damage to the vagina can be to any of the four sides and the top where the cervix is, as well as at the opening and at the perineum. Site-specific defect repairs (SSDRs) are done to treat the individual areas that are damaged and include fascial closure which adds an extra support layer. These surgeries re-support the walls and restore normal anatomy and function.
I hope this information is helpful.
Dr. Troy Hailparn
"Vaginal Rejuvenation" and UroGyn work
If you wish to give us more detailed info regarding your symptoms, and send a couple good quality in-focus photos, we can give you more detailed advice.
Michael P Goodman MD