Reconstruction of vaginal tonus

The birth of a child gives meaning to our lives and it awakens the most profound feeling of love- the love of a mother for her child. A mom who has just given birth is overwhelmed by her small prince or princess, so sometimes she gives little attention to the changes which take place in her body.

Hormone changes are reversible, weight changes are possible with more or less effort. Changes almost nobody is speaking, but everybody knows about, are those related to the external urinary sphincter and vaginal tonus. Just a few of the women with these problems visit a specialist. In the case of urinary incontinence - a urologist, and in the case of low vaginal tonus - an gynaecologist or a plastic surgeon.

During birth, a considerable expansion of the vaginal walls takes place. The withdrawal of muscular and conjunctive tissue from the perineum base (which sustains the organs of the internal genital-urinary apparatus) is sometimes not sufficient. The degree to which the vaginal tonus is restored depends on more internal factors: the muscular tonus the woman had before the pregnancy and the quantity of conjunctive tissue. The latter is in inverse proportion to age: as the mother is more mature, low vaginal tonus can persist even at 6-8 months after birth.

There are 3 important types of treatment in this case

1. Non-invasive method: succesive contracting and relaxing the perineum muscles in series of 10 exercisesS, 3 times a day
2. Surgery for partial resection and suture
3. A modern method of treatment the low vaginal tonus, minimally invasive - Radiofrequency

This method applies to the patients who already do exercises for the perineum muscle but do not obtain any expected effect, at least one year after giving birth. The treatment can also be applied many years after giving birth. The intervention takes place with local anaesthesia, done 20 minutes after an anaesthetic gel is applied on the vaginal mucous. A certain dose of high-frequency energy waves is applied to carefully selected spots so that the collagen within the vaginal walls is contracted and the walls regain elasticity. The intervention lasts for about 20 minutes. After 30 more minutes of bed the patient will be able to go home. She will experience some discomfort and slight local inflammation for about one week, but care at home is easy and the patient can resume her day-to-day activity the day after the intervention. Sexual contact is not allowed for about 10-14 days. The exact indications are prescribed by the surgeon during the recovery period.

The desired result appears approximately one month after the treatment; the doctor and the patient consult on whther one more session is necessary. Usually one session is sufficient. It is important to note that the contraction effect will improve in the next 6 months by a mechanism which forms a new collagen net, which restores the vagina its former elasticity and even better results than that.

So future mothers should not opt for the birth through Caesarean section only to avoid the widening of their vaginal walls. If it occurs, this problem can be easy solved through 1-2 sessions of minimally invasive treatment with high-frequency waves.

Special reccomendations:
All procedures could have counterindications. Because of this reason, a medical consultation is necessary in advance.

Appointments: Lipoline Plastic Surgery and Medicine Cluj-Napoca, Romania, Tel: 0264-35-35-66; 0743-55-LIPO, Str. Donath, Nr 8, argentinadr[at]yahoo.com