Vaginal reconstruction is a general term that
refers to surgeries intended to restore the vagina to its
original anatomic state. It may involve correcting a cystocele,
rectocele or vaginal prolapse (see
Prolapse. Another anatomic abnormality that can
develop with or without pelvic organ prolapse is a relaxed
genital hiatus. In this condition a gaping vaginal opening
occurs. Vaginal deliveries and episiotomies are the main
culprits in its development. Anatomically, it occurs because
of separation of the muscle at the vaginal opening (the
bulbocavernosus muscle at the area of the posterior forchette).
Women may describe feeling "open". They may complain
of lack of sensation during intercourse.
Surgeries for correction of this condition are often
advertized in the media under catch phrases such as "Vaginal
Rejuvenation" and "Laser Vaginal Rejuvenation".
However, the surgery to correct this issue is the standard
gynecologic procedure called "Posterior repair"
along with a perineorrhaphy (correction of the area between
the rectum and the vagina). This procedure is done frequently
as part of the correction of pelvic organ prolapse. Urogynecologists
have the most training in performing these types of procedures.
Although this procedure brings the anatomy to normal
and tightens the vagina it may not affect sensation during
vaginal intercourse. Sexual satisfaction is governed
by many factors the most important of which are psychological.
Thus multiple modalities of treatment may be needed (Kegal
exercises, physical therapy, psychological therapy etc.).
Labioplasty is surgery to change the appearance
of the labia, usually the labia minora. People come in all
shapes and sizes and all of them are considered normal.
Nonetheless, some people chose to change an aspect of their
physical appearance with plastic surgery. They do this for
all sorts of personal reasons. This trend has also reached
the genital area. Some women find their labia too large
and choose to have labial reduction. This may be solely
due to cosmetic reasons or due to symptoms such as discomfort
during physical activity and intercourse. In this minor
surgery part of the excess skin of the labia minora is removed
achieving the patient's desired appearance.
We at Houston Metro Urology have a multidisciplinary
staff from several fields of medicine. We look at all aspects
of the patient's problem and offer complete treatment under
one roof. This approach enables us to combine cosmetic with
standard reconstructive techniques which often allows at
least partial if not complete coverage of the procedures
by the patient's insurance.