Is There a Potential Risk of Bladder Injury?

Is there any risk of bladder injury during vaginal rejuvination surgery?

Doctor Answers 4

The risk of injury during vaginal rejuvenation depends on what areas are being operated

Most vaginal rejuvenation surgeries are performed on the posterior wall of the vagina. The risk of injury on that anatomy is to the rectal wall which lies underneath. If the procedure includes surgery on the anterior vaginal wall, then there would be a risk of bladder injury. The risk of injury to either of these organs is very low in expert hands, but is increased by heavy scarring, weak native tissue, radiation, disease and mesh prosthetics. An expert would be able to manage these injuries at the time of your surgery.

Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

Not Much, but Not Zero

In a "cosmetic" vaginal rejuvenation procedure, there really should be NO risk of bladder injury, because the incisions and surgery occur on the opposite side (adjacent to the rectum) of the vaginal canal and perineal body (the space between the vagina and the anus).  There is a higher chance of injury to the anus or rectum, but even that risk is extremely low for any surgeon with experience operating in this area.  We can never say the risk is absolutely zero, however, because if you can imagine it, it's probably happened.  Most (99.9%) of these surgeries are safe and result in no long-term injury to any adjacent structures, especially in the hands of a skilled and experienced surgeon.  If you are considering this surgery, do your homework, ask questions, and satisfy yourself that the surgeon you are considering does have the appropriate experience and training for you to place your trust in him or her.

W. John Bullis, MD
Bellevue OB/GYN
4.9 out of 5 stars 27 reviews

Bladder injury

I the vaginal rejuvenation includes repair of a fallen bladder, i.e. cystocele, or a bladder support surgery, there is always a possibility that the bladder could get injured.

Robert L. True, MD
Grapevine OB/GYN
4.9 out of 5 stars 8 reviews

Potential risks

The level of risk depends on the exact procedure being performed and the level of expertise of the surgeon. For purely cosmetic cases, the surgery is primarily on the exterior and should pose no risk to the bladder. However, this is something you should discuss in detail with your surgeon during your consultation, as they will know the exact procedures being performed and the risks associated. Good luck!

Jimmy S. Firouz, MD, FACS
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.