Laguna Beach, CA
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March 14, 2010 12:45 AM
I am sorry to hear of your disappointment. It may be that the tightening to a 2cm diameter may have been done only at the introitus and was actually a superficial perineorrhapy and not a
I am sorry to hear of your disappointment. It may be that the tightening to a 2cm diameter may have been done only at the introitus and was actually a superficial perineorrhapy and not a "Full Length" vaginoplasty. You would certainly know if it was a full length one since you would have discomfort with first intercourse not just at the opening but deeper unless your partner's diameter was much smaller. My only advice is to see another surgeon who does nothing but vaginal and labial surgery and is accustomed to doing deep pelvis surgery. Many gynecologists can do these but urogynecologists may be better for you since it would be a redo. We do many of these revisions and have built a specialty practice of "re-do" surgery since so many plastic surgeons who have no training in deep vaginal surgery are calling superficial perineoplasty "vaginal rejuvenation" or "vaginoplasty" when they are essentially tightening up only the first couple of centimeters going into the vagina. It sounds like you needed work going all the way down to the ischial spines, about 7+ cm deep. Ask your consulting doc if they indeed go down to the "spines." If they do not know what you are referring to when you say "spines" then seek out another surgeon. This is a dead giveaway that you may not get the deep work you need.
We do these repairs under a modified pudendal block with local anesthesia in the office without an IV being used and with the patient awake so you cannot get any safer. However, doing this in the surgery center or hospital is perfectly acceptable though more expensive and with its own anesthesia risk. Good luck to you. I hope this helps answer some of your questions.
Red Alinsod, MD