Vaginal Reconstructive Surgery
Pelvic organ prolapse
Child birth trauma, constipation, chronic cough, obesity, menopause, and aging contribute to weakness of pelvic floor muscles and laxity of ligaments, this results in pelvic organ prolapse, vaginal laxity and urinary incontinence requiring vaginal reconstructive surgery. Approximately 60% of women over 50 years suffer from some degree of pelvic organ prolapse, and as years go by the prolapse gets worse, and may lead to uterine and vaginal prolapse (fall or bulge).
Types
– Cystocele: bladder fall into anterior vaginal wall.
– Rectocele: rectum fall into posterior vaginal wall
– Enterocele: intestine fall into vaginal apex
– Vault prolapse: vaginal apex fall after a hysterectomy
- Uterine Prolapse: uterus fall in vaginal canal.
Vaginal reconstructive surgery will restore the fallen pelvic organs (Uterus, Vagina, Bladder, Rectum, Intestine) to their normal pelvic position by repairing torn muscles and lax ligaments. Vaginal tightening will correct vaginal laxity to enhance appearance, function and correct urine leakage and queef, a vaginal flatulence or burping sound during intercourse.
Cystocele Repair (Anterior Vaginal Wall Repair) :
Vaginal surgery, repairing damaged tissue and lifting the bladder bulge to its normal anatomical position, Urinary incontinence if present, may be also corrected.
Rectocele Repair (Posterior Vaginal Wall Repair):
Repairing pelvic floor defects, and restoring the rectum to its normal position. This is the most common vaginal procedure in cosmetic gynecology and can be done with local anesthesia, requiring no hospital stay.
Enterocele Repair (High Posterior Vaginal Repair):
Vaginal surgery suturing the enterocele sac of prolapsed / bulging small intestine loops in the upper posterior vagina wall.
Perinium Repair:
Suturing torn and weak perineal muscles between the lower vagina and anus that are damaged during child birth or a badly repaired episiotomy.
Complete Perineal Tear:
Repairing perineal muscles, anal sphincter, and maybe anal canal that are stretched and torn during child birth.
Uterine & Vaginal Prolapse (suspension):
Uterine prolapse is common in women with weak pelvic support tissue and post menopausal women with multiple vaginal deliveries, the womb drops down into the vagina causing pelvic pain.
Vaginal hysterectomy is preferred for women over 50 years, while uterine suspension procedures are performed preserving the womb if future pregnancy is desired.
Vaginal Vault Prolapse may occur after a hysterectomy due to weak pelvic tissue & ligament support. The vagina may be re-attaching to a pelvic structure by a sacrocolpopexy or sarospinous procedure to lift it.
Vaginal reconstructive surgery is performed in a sterile hospital operating room under general, spinal, or local anesthesia, the procedure takes 60 - 90 minutes to perform. This repair is technically quite challenging , we have extensive experience in vaginal reconstructive surgery with high success rates and excellent results.
Mayer-Rokitansky-Küster-Hauser Syndrome (Agenesis):
A rare congenital disorder (1:4500) of the female reproductive system, the upper 2/3 of vagina and uterus are absent, and the external genitalia are normal. Women with MRKH syndrome have a normal female chromosome pattern (46XX) and normally functioning ovaries.
Treatment is by vaginal dilatation or vaginal reconstructive surgery with a skin, peritoneum, or amniotic membrane graft to reconstruct a 10 cm functional vagina.it.
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