Vaginoplasty, pelvic floor reconstruction

There are many conditions that come with age and childbirth that become problematic over time.  Pelvic prolapse, where the vaginal walls drop and become less supportive and snug, is the most common occurrence.   Childbirth can cause the stretching and lack of support of many structures: the pelvic floor muscles and support, the vaginal walls, labia minora, labia majora, where the tissue is not only weak but can be stretched out and enlarged and less functional.

The genital and pelvic structures have both a functional role and cosmetic role.  It is important for the vaginal walls and pelvic floor to be sturdy to support the internal pelvic organs and for bladder and bowel support.  Urine leaking, urgency, and stool constipation and leaking can result from faulty vaginal wall and pelvic floor support.  Sexual function, sensation, and satisfaction can be compromised with poor pelvic structure. 

These can all be repaired and improved in the office by surgery, radiofrequency, laser, and regenerative processes.   Surgery can be done in the office for all of these structures, because of the nerve supply that can be blocked and the concise and small area that is being worked, it is easily blocked with numbing agents for a painless surgery.  Noninvasive radiofrequency and laser can be used to increase collagen and tissue structure for improved support without surgery.  Biologic substances and growth factors such as PRP and others can be added to stimulate growth and rejuvenation.  Some of the repairs can also be done in the operating room for those who would prefer general anesthesia.

The labia minora and majora change in appearance over time, again from time or childbirth.  These structures are less functional and more cosmetic, but they can be treated to give a more youthful appearance.  For most women this is done with a surgical procedure, and then enhanced and maintained with supportive noninvasive radiofrequency, laser, and biologic support.  Satisfaction with a corrective procedure is very high involving the labia minora and majora. 

Many women don’t know that corrective procedures are available, that can be as simple as office based procedures and manipulation.  Some women don’t even realize they may have an issue with support and genital structure and function.  These areas are slowly being more discussed, but dissemination of information is still lacking.  In my office, we try to inform women of their anatomy both normal and abnormal.  Women can choose if they would benefit from augmentation for structure or function in any way. 

Anyone is welcome to come in for a discussion of pelvic function and structure, and we will see how I can help. 

Karen E Kennedy MD Gynecologist for over 21 years in Gulf Breeze, FL, caring for patients in the Florida panhandle area.

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