I am in my 30s With 2 children and done. I’ve had some long strenuous labors for my kids and I am unsure if everything looks okay down there. I don’t remember what I looked like pre-children. My gyno/ob reassured me everything looks fine, but I feel like I have a lot of fleshy tissue between my urethra and vaginal opening. Other concerns are darker labia minora and maybe some gaping? What are my options? Who should I see?
June 19, 2023
Answer: What is this poking out through my vaginal opening? It is a "urethrocele!" Hello Friend From Texas! While I am a female genital cosmetic and reconstructive surgeon (I operate on stuff!), my over-arching philosophy is: "If it Ain't Broke, don't Fix It! Your OB is correct: you are normal, and there is nothing "wrong" with your anatomy. It all depends on whether it is "Bothering" you. What you see is termed a "urethrocele," a portion of your "anterior vaginal wall, your urethera, as it curves down from the bladder to its opening (the "urethral meatus- where you pee through.) The strain and pull inherent in a vaginal delivery, especially an arduous one, "pulls" this area down; it loses some of its fascial attachments, and frequently can (like in you_) prolapse a bit. Other than the visual, it causes no problem and- unfortunately- cannot be "primarily" fixed. In other words, there is no safe surgical procedure to just "...tack it back up." However, it the appearance is REALLY is bugging you, the procedure I would recommend (just to enable the urethrocele to be less visible) would be a minor perineoplasty to raise the perineal body and partially "curtain" the opening for less visibility. Very best, Michael P Goodman, MD, FACOG, IF, AAACS Sacramento, CA, USA
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June 19, 2023
Answer: What is this poking out through my vaginal opening? It is a "urethrocele!" Hello Friend From Texas! While I am a female genital cosmetic and reconstructive surgeon (I operate on stuff!), my over-arching philosophy is: "If it Ain't Broke, don't Fix It! Your OB is correct: you are normal, and there is nothing "wrong" with your anatomy. It all depends on whether it is "Bothering" you. What you see is termed a "urethrocele," a portion of your "anterior vaginal wall, your urethera, as it curves down from the bladder to its opening (the "urethral meatus- where you pee through.) The strain and pull inherent in a vaginal delivery, especially an arduous one, "pulls" this area down; it loses some of its fascial attachments, and frequently can (like in you_) prolapse a bit. Other than the visual, it causes no problem and- unfortunately- cannot be "primarily" fixed. In other words, there is no safe surgical procedure to just "...tack it back up." However, it the appearance is REALLY is bugging you, the procedure I would recommend (just to enable the urethrocele to be less visible) would be a minor perineoplasty to raise the perineal body and partially "curtain" the opening for less visibility. Very best, Michael P Goodman, MD, FACOG, IF, AAACS Sacramento, CA, USA
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June 19, 2023
Answer: Prolapse or extra tissue ,what are my options Hi , looking at the picture you submitted there is gaping at the vaginal opening which is common after childbirth. Due to the gaping you can see the inside vaginal mucosa. This is usually corrected by vaginoplasty or perineoplasty procedure depending on the clinical findings. To diagnose prolapse you will need a thorough clinical examination . Please contact a cosmetic gynecologist in your area or call our office to get more information. thank you.
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June 19, 2023
Answer: Prolapse or extra tissue ,what are my options Hi , looking at the picture you submitted there is gaping at the vaginal opening which is common after childbirth. Due to the gaping you can see the inside vaginal mucosa. This is usually corrected by vaginoplasty or perineoplasty procedure depending on the clinical findings. To diagnose prolapse you will need a thorough clinical examination . Please contact a cosmetic gynecologist in your area or call our office to get more information. thank you.
Helpful 1 person found this helpful