Designer Laser Vaginoplasty
A vaginoplasty is the repair of the laxity of the vagina. It addresses the increased vaginal caliber which results in decreased sensation during penetration and intercourse. The procedure is a modification of a long used technique to treat vaginal relaxation, specifically an anterior and posterior repair. The modification consist on the plane of operation which concentrates in the fibromuscular layer of the vagina and its lateral attachment instead of the deepithelialization used in anterior and posterior repairs. A plastic repair with small caliber delayed absorbable sutures serves the approximation of the vaginal tissue decreasing the formation of scar bumps and nodularities. The extent of dissection requires meticulous hemostasis as the postoperative results are affected by the formation of hematoma and inflammatory fluid collection.
The addition of an operative CO2 laser facilitates an operation with precise dissection of tissue planes, decreased tissue damage, decreased rates of wound separation and allows for a procedure with minimal blood loss. These factors translate in restoration of the vaginal caliber to a degree of physiological tightness which translates in an enhanced sexual gratification.