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You’ve may have heard of vaginoplasty also referred to as vaginal rejuvenation.  Many years ago, the term vaginoplasty was used to reference a radical procedure now known as Sexual Reassignment Surgery—this is no longer what the contemporary definition of the term vaginoplasty refers to, however. Although there are many terms and phrases to describe this medical procedure, vaginoplasty is the most accurate today because it deals exclusively with the repair of vaginal damage caused chiefly as a result of childbirth.  Through all this terminology, the most important thing to remember is how this medical condition manifests itself in you, the individual.  How it affects YOU in your everyday life. 

Some women say they “feel loose.” 

Others say, “I don’t feel like I used to down there, before my children.”

And some women may say, that “sex isn’t as good as it once was.”

However the condition presents itself, all you know is that you need to be able to easily read and understand what this medical “stuff” is; how much of it you REALLY need; and who is best suited to do this surgery—so that you can feel positive about getting a good result if and when the surgery is done. 

Equally important, is that it would be wonderful if someday you could get this information from one of the leading surgeons in this delicate field, from someone who is globally recognized—and get it in a way that would make sense to you, delivered in a manner easily understood . . . so you don’t have to reference Gray’s Anatomy, to understand what the doctor is saying to you, so you can easily understand what it all means.  Well, today is that day . . .

To Begin, What Is Vaginoplasty All About And Who Is A Candidate?

Many of you have had, rightfully so, difficulties in understanding what these medical terms and phrases mean and specifically what vaginoplasty means (and/or rejuvenation of the vagina).  In the surgical world, it is easily translated—it means, simply, tightening of the vagina—for more friction and more pleasure for both engaging partners.  Vaginoplasty is NOT an elixir or cure for sexual dysfunction.  It IS a method to achieve or improve sexual function to rekindle sexual relationships and feelings—hence, it IS applicable to make a woman feel better about herself. Women who say that they can’t achieve climax, don’t feel any urge for sex, or demonstrate other inhibitive psychological issues are NOT candidates for vaginal rejuvenation and your surgeon will tell them that vaginoplasty is not an answer for them.

Perhaps the most widely used term, not associated with the marketing phrase, vaginal rejuvenation, is vaginoplasty.  Vaginoplasty, is a medical surgical procedure that can usually correct the problem of stretched vaginal muscles resulting from childbirth(s), and is a direct means of enhancing one’s sexual life once again.  The procedure typically applies to women who’ve had multiple childbirths and it can tone vaginal muscle, resulting in greater contraction strength and control, thereby permitting greater sensation during sexual experiences.  Vaginal surgery is a demanding surgical field, and there are only a few skilled surgeons, worldwide, who are specialists in performing the delicate procedures with good results.  Those surgeons are usually formally trained in female medicine such as gynecologists.

The most widely accepted medical definitions for the vaginoplasty terms are:

Vagino-, vagin- [L. vagina, sheath] Combining forms meaning vagina; and -plasty, suffix meaning surgical repair.

Vaginoplasty (v?-j?´n?-pl?s´´t?) [Gr. plassein, to form] Plastic surgery on the vagina.

So, who are the typical candidates for vaginoplasty? 

The demographic is usually an older woman versus that of the labiaplasty candidate—which is repair of the external labia structures, majora/minora (Other FCGS Procedures-Definitions) . . . although they can often, and sometimes are, done together.  The reasons that a woman has vaginoplasty, except in rare exceptions as aforementioned, are to deal with individual issues as a result of bearing children—sometimes large babies in difficult childbirths, and/or are those women who may be genetically-susceptible.  By saying genetically-susceptible, or a genetic predisposition, we mean that tissue-wise, some women may get prolapse, have incontinence, and tissue stretching more accentuated during the birth process, while others may not have as much of a problem, or at all.  It’s all related to individuality and again, it’s related to genetics.  Aging can also play a major role in vaginal repair, which, along with giving birth at later times in life, can be even more traumatic to tissues and supporting structures.  The bottom line, is that the vagina and its supporting muscles become stretched severely and torn during childbirth and in almost every case never returns to its before-pregnancy size. Continue reading about “The Vaginoplasty Procedure & How It’s Done”.

Equally important, as mentioned earlier, are the individual issues that women deal with.  Yes, many women have numerous children and they choose not to undergo vaginal rejuvenation.  This is an individual decision and some women elect not to deal with the degradation of the tissues of childbirth and live very happy, pleasant lives without having vaginal repair done.  This is important to note because many of you may not want to undergo the procedure and there is nothing wrong with that.  The fact is that if a surgeon says that you “need” this surgery, he is being untruthful with you in most cases.  This is not a “needed” surgery, and is considered elective.  Hence, you must “want” this surgery because you may live a very fruitful, enjoyable life without having it done at all.

Still, many women who are candidates are those that are going through transitional periods or relationship changes (divorce would be an example of this) and they desire vaginal repair to better enhance their sexual enjoyment—sometimes referred to as sexual enhancement.  They “want” vaginoplasty because of their own sexual (sometimes their mates influence their decision as well) desires.  Female sexual enhancement may be defined as anything that enhances a woman's sexuality.  Many women feel that they’ve done the societally-approved child rearing and as it may sometimes happen, for whatever reason, they have separated from their former husbands/partners and now they want to start new relationships and enjoy their sexuality again.  There is nothing wrong with this perspective and they have a right to it, much like a man might do the same.  This would include any procedures that improve one’s self-image.  Women might also have abdominoplasty (tummy tucks), breast lifts and breast enlargement—all would be examples of frequent surgical procedures in this category. “Breast Implants & Other Sexual Enhancement Procedures” and “Social and Cultural Considerations”

However, until recently, cosmetic surgery of the female external genitalia has been neglected and frequently derided.  But, as women now are occupying a more rightful place of equality in cultural society, they are becoming equally appreciative of sexual activity including increased stimulation derived from either existing or new partners. When women begin to recognize some of the ways childbearing affects their reproductive structures they naturally become inquisitive and often go to the Internet for answers.  And, while there is a huge repository of technical (and much copyright infringed material stolen from legitimate authors) medical information available, unfortunately, much of it is so technically-oriented, that it becomes impossible to understand what it all means, and even more important, how it relates to them. 

As well, in many cases many urogynocologists may add to the existing confusion, by recommending on their Internet portals, procedures that may NOT even be necessary, only for the purpose of enabling them to bill additional insurance (or otherwise) costs in “bundled” procedures. 

Fortunately, our experienced vaginoplasty surgeons are able to help you by bridging the gap from technical-ise, to common understanding and how much of this surgical “stuff” you really need—if any—and invites you to contact him for any reason, concerning issues you may have, or think you may have and in that regard, is here to help you.






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