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Vaginal reconstruction can be requested for both medical and cosmetic reasons. There are multiple procedures that fall under this category, including vaginal rejuvenation, mons pubis reduction, and excess prepuce reduction.

Vaginal rejuvenation can involve a tightening or loosening of the walls of the vagina. Mons pubis reduction can be used to reduce the size of the area below the stomach and above the clitoris.

Excess prepuce reduction is used to remove any excess skin that is covering the clitoris, because an abundance of skin in this area can make orgasm difficult for the patient.

How does one even know they are experiencing vaginal prolapse? A few symptoms can cue you into the idea that it is time to see a specialist. When those muscles become weakened, it can lead to prolapse.

A few conditions or events can cause this, including:. You are at greater risk the older you are. A history of vaginal prolapse in your family exponentially increases the chances you will suffer a form of prolapse as well.

Otherwise, surgery is necessary for vaginal hernia repair. During surgery , the surgeon will attach the top of the vagina to the lower abdomen wall, the pelvis ligaments, or the lower back.

If the uterus is dropping, a hysterectomy may be recommended for women without plans for future children. Sometimes removal of the uterus or other organs is unavoidable because the prolapse has caused permanent damage.

The incision is made either through the abdomen or the vaginal canal. Organs are reattached to the body either with existing organic tissue or by an artificial means like vaginal mesh.

See also: Intersex medical interventions. Further information: Labiaplasty. Further information: Hymenorrhaphy. Main article: Vaginal dilator. Medicine portal Transgender portal.

Pediatric Robotic and Reconstructive Urology a Comprehensive Guide. City: Wiley-Blackwell. Williams gynecology. New York: McGraw-Hill Medical. The Journal of Sexual Medicine.

Understanding differences and disorders of sex development DSD. Basel: Karger. Retrieved Human Reproduction Update. World Health Organization.

Construction of the Neovagina". In Farzeen Firoozi ed. Female Pelvic Surgery. New York: Springer. Retrieved 31 May Horm Res Paediatr.

Sr December Annals of Plastic Surgery. Wolters Kluwer. In , the gynecologist Dr Georges Burou — independently developed the anteriorly pedicled penile skin flap inversion vaginoplasty in his Clinique du Parc in Casablanca.

This technique was to become the gold standard of skin-lined vaginoplasty in transsexuals. Additionally, vaginal reconstruction or rejuvenation is a great option for a woman in good health who has one or more of the following concerns: The contours of the genital structures have become inelastic or stretched out Soreness or pain with sexual activity or exercise Diminished sensation during intercourse proceeding childbirth A desire to improve the contour or appearance of the genitals.

While every woman is different and the various purposes for these procedures are varied, the intended result of these surgeries are similar: To tighten the vagina to restore it to nearly the same size it was before experiencing childbirth Improving the appearance of the labia can lead to a boost in self-confidence Exercise can become more comfortable Heightened sensitivity during sexual intercourse Improvements in self-perception and self-esteem can enhance quality of life It should be noted that while it is true that vaginal tissues can stretch, such as what is experienced during childbirth, surgically tightening the vaginal tissue on its own does not guarantee a heightened sexual response.

Potential Side Effects and Risk Factors for Vaginal Surgery. As with any surgical procedure there are a few risks including: Risk of infection Loss of sensation Scarring Adverse response to anesthesia.

How Advanced Gynecology Can Help. For more information, schedule an appointment today or call to speak with one of our patient coordinators.

The extent of the surgery depends on the size, location, and stage of the cancer. This is sometimes called a wide excision.

The surgeon takes out the cancer along with a nearby edge or rim of normal tissue. For VAIN , a local excision may be all that's needed.

For small stage I cancers, treatment may include a local excision along with surgery to check the lymph nodes see below. Vaginectomy is surgery to remove the vagina.

A radical vaginectomy is removal of the vagina along with the supporting tissues around it. Vaginal cancer most often starts in the upper part of the vagina near the cervix , so removing the cancer sometimes means also removing the cervix.

If only the cervix is removed leaving the rest of uterus behind , the operation is called a trachelectomy. See Surgery for Cervical Cancer for more about this procedure.