The perineum is particularly stressed in overweight people and in pregnant women in the event of vaginal delivery or following a poorly closed episiotomy. In most cases a rehabilitation of the perineum is prescribed, but when this is no longer sufficient, surgery may be useful. Another situation is that of elderly women. From a certain age, “a distended perineum can lead in the longer term to a descent of the bladder, uterus and rectum (prolapse)”. With the onset of menopause, “estrogen levels decrease and the tissues lose their elasticity and no longer perform their organ support role as effectively”.
What does the operation consist of? In these various situations, therefore, vaginoplasty may be indicated. “Two techniques are associated, practiced at the same time if necessary”, describes the site of Dr Marianne Prevot, specialist in plastic, reconstructive and aesthetic surgery. “A small opening is made at the entrance to the vagina, which allows the muscles of the perineum to be tightened. An autograft of adipocytes is performed under the vaginal mucosa. The treatment of incontinence can be associated with it, by strip or by autograft of adipocytes. »
This procedure takes place under general anesthesia for approximately 2 hours. The patient remains hospitalized during the night following the operation for better monitoring. The patient should not practice any sport or have any sexual intercourse for a month, but the total recovery takes place fairly quickly, after about 2 months. Note that vaginoplasty also refers to the transition operation that transgender women can benefit from so that their body finally corresponds to their gender identity.
Chiropractic or physiotherapy, what are the differences?