Vaginoplasty for Urinary Incontinence

Vaginoplasty is generally thought of as a procedure to tighten and rejuvenate the vagina, enhancing sexual pleasure. That is not the only reason women may choose to undergo vaginoplasty.

Ongoing urinary incontinence affects as many as 10 percent of all women, and it is an embarrassing, unpleasant condition. For many women, vaginoplasty can cure or lessen the impact of urinary incontinence.

Urinary Incontinence After Childbirth

Many women experience urinary incontinence after giving birth vaginally, especially if the labor was long and difficult, and it is not generally an issue that goes away on its own. There are various types of urinary incontinence, and vaginoplasty is effective on the most common type, stress incontinence.

Any sort of movement, including running or exercise, may spark stress incontinence. So can involuntary actions such as sneezing – or a good laugh.

While women who have given birth vaginally are most afflicted, surgeries such as hysterectomy can also result in stress incontinence, as can injuries to the pelvic area. Women who did not deal with urinary incontinence in the years post-childbirth may find it becoming a problem as they get older.

The Urethra, Vagina, and Pelvic Support

The urethra sits very close to the vagina. Urine stays in the bladder via a muscle ring around the bladder neck. The pelvic floor’s muscles also support the bladder. When these muscles weaken, any sort of stress causes abdominal and bladder pressure, and urine spills or leaks out.

Rather than only urinating normally when the brain tells the women her bladder is full and she releases the urethral muscles on her own, an affected woman deals with regular leakage.

Since even mild stress can set it off, she never knows when it will occur. Many women end up wearing panty liners or even sanitary pads all the time for protection.

Vaginoplasty and Perineoplasty

Vaginoplasty can help women whose urinary incontinence derives from pelvic support or relaxation issues. A related surgery, perineoplasty, actually raises the pelvic floor muscles. The surgeon will recommend one or both procedures based on careful examination and diagnosis.

In either case, the appearance of the vagina also improves, returning it to its pre-childbirth state.

Kegel Exercises

Women with urinary incontinence are generally advised to perform Kegel exercises to strengthen the urinary sphincter and pelvic floor. If a woman continues to experience urinary incontinence after regularly performing Kegel exercises, additional therapy is necessary to address the problem.

Vaginoplasty will eliminate urinary incontinence in many women, but there are those who may still leak urine.

Vaginoplasty helps increase Kegel exercise effectiveness, so the combination of the surgery and exercises puts an end to urinary incontinence.

Vaginoplasty Recuperation

Expect to completely recover from vaginoplasty within six weeks. Most women can return to work within a few days post-surgery, as long as their jobs do not require lifting or other strenuous physical activities.

Regular exercise can usually start within four weeks. Women must refrain from vaginal sexual intercourse for six weeks after the procedure.

Once they are able to resume sexual relations, women find over time that they become more aroused more easily and enjoy a better quality of lubrication and orgasm.

Contact Dr. Jacobson Today

If you would like more information about vaginoplasty for urinary incontinence, call the office of Dr. Edward Jacobson today and arrange a consultation.