Is there a procedure that shortens the vaginal canal?

Thank you for your questionThe apex region of the vagina, called the cul-de-sac, can be reduced by a procedure called enterocoele repair. Enterocele translates into "bowel hernia" which increases the surface area of the cul-de-sac. By reducing the enterocoele , the apex region of the vagina can be reduced.

There are multiple procedures and techniques that can be performed to reconstruct the vaginal canal and adjacent tissues. Your past medical history, current symptoms, and physical condition will help the surgeon determine the best option for you.

Yes, there are procedures that can shorten the vaginal canal without requiring a hysterectomy.

When addressing vaginal length, it's important to understand the underlying reason—whether it's due to congenital conditions, prolapse repairs, prior surgeries, or personal discomfort.

Here are some options:
Partial Colpocleisis
This is a procedure often used in pelvic organ prolapse (especially in women not planning future vaginal intercourse). It effectively shortens and narrows the vaginal canal. It does not involve removal of the uterus unless combined with a hysterectomy, which is optional in some cases.

Reconstructive Vaginal Surgery
For cases not related to prolapse, a urogynecologist or reconstructive pelvic surgeon can perform customized vaginal repairs to adjust length or structure. This can be done while preserving the uterus.

Scar Revision or Septum Excision
If the vaginal length issue is due to septa, scar tissue, or congenital elongation, targeted excision and reconstruction can help adjust the anatomy.

Non-Surgical Options
While non-surgical therapies like lasers (CO₂ or erbium) and radiofrequency do not shorten the canal, they can enhance tone and support in the vaginal wall, sometimes leading to a functional improvement in vaginal depth perception or discomfort.

Important:
These procedures must be carefully evaluated with pelvic imaging and a thorough gynecologic examination to determine candidacy and safety.