What is the difference between rectocele, periocele (I think it's called), and vaginal rejuvenation?
Doctor Answers 3
Rectocele vs Perineocele. Very different than vaginal rejuvenaiton.
A perineocele is very specific type of prolapse which has to do with the seperation of the pelvic floor muscles. A detailed exam by a urogynecologist can help determine the difference.
On the other hand, correctly repairing a rectocele does not necessarily make the vagina tighter only corrects the defect allowing you to improve bowel function. A vaginoplasty can be performed at the same time provided the surgeon has experience in both correctly repairing the specific defect as well as cosmetic surgery.
Based on your description, it sounds like you had tightening of the opening which makes the vagina look tighter but doesn't seem to address the rectocele or problem that you are having with bowel movements. This can be corrected but would require a thorough exam to plan your surgery correctly.
Hope this helps.
Rectocele vs Perineocele vs Vaginal Rejuvenation
A rectocele is a bulge of the posterior vaginal wall and the underlying anterior rectal wall into the lumen of the vaginal canal. It is the result of broken connective tissue beneath the skin - a type of hernia. A perineocele is a bulge of the perineum at the vaginal opening. It is the result of a break between the connective tissue that holds the posterior vaginal wall and the perineum together. Also a type of hernia. These conditions are fixed by excising a small amount of weakened, stretched tissue and repairing the areas with layers of sutures. Vaginal rejuvenation (aka vaginoplasty) involves suturing the Kegel muscles (levator muscles) together and tightening the posterior vaginal wall and perineum. The main difference is that the rectocele/perineocele repairs aren't really intended to tighten the vaginal canal - they fix bulges caused by hernias, nothing more, nothing less and a mild degree of perineal or vaginal tightening might happen, but not to the degree produced by vaginoplasty. Of course, both types of surgeries can be combined in expert hands.
If you have continuing problems, you need additional evaluation to see what's going on.
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