Vaginal rejuvenation is a procedure done to restore the anatomy of the vagina, by lifting and lengthening the vagina itself. Vaginal rejuvenation, also referred to as vaginoplasty, may be done by surgical repair, or with laser treatment. The type of procedure that is optimal for each patient is determined based on her symptoms and exam findings.
There are two components to vaginal rejuvenation surgery, vaginoplasty and perineoplasty. Vaginoplasty is indicated when the caliber of the vagina becomes enlarged and stretched, typically following deliveries and with age. A portion of the muscle is brought together with sutures to tighten the vaginal canal and excess or redundant vaginal tissue is also reduced. Perineoplasty is also done, in which the perineum and opening of the vagina are rebuilt. The result is resolution of a gaping introitus or vaginal opening, decreased caliber and increased length to the perineal body (the area between the vagina and the rectum). These changes enhance the appearance of the vaginal anatomy and sensation or friction with intercourse.
Patients who are considering vaginal rejuvenation often present with complaints of vaginal looseness and decreased sensation with intercourse as well as changes in the visual appearance of the vagina. When this occurs, it is not uncommon to also find Pelvic organ prolapse on exam. If no prolapse is present and the degree of relaxation is minimal, laser rejuvenation may be indicated. When there is prolapse or significant relaxation, surgical repair is the treatment of choice to restore the pelvic anatomy.