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Vaginal Relaxation
The most important criteria determining the type of surgery offered for relaxation begins with the diagnosis. This concept is the utmost importance. Dr Miklos & Dr. Moore are trained urogynecologists who have treated patients with conditions of vaginal relaxation including: cystocele, rectocele, enterocele, vaginal vault prolapse, uterine prolapse, urethrocele and perineal relaxation for almost 15 years. Their practice is dedicated to vaginal relaxation patients and thus they are considered authorities in their field. Some forms of relaxation include:
Cystocele: is a bladder relaxation and this occurs when the ceiling of the vagina no longer supports the bladder in its normal position.
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Cystocele
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Urethrocele: is a urethral relaxation and this occurs also when the ceiling of the vagina which normally supports the urethra no longer is doing its job and the urethra sags.
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Urethrocele
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Rectocele: results due to a weakening of the floor of the vagina. Normally the rectum is found directly beneath the floor of the vagina. When the floor is broken or weakened the rectum pushes into the vagina floor creating a bulging.
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Rectocele
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Uterine & Vaginal Vault Prolapse: is due to a lack of support of the deepest point of the vagina. The deepest point of the vagina is where the uterus and the cervix actually enter the vaginal canal. When a patient has a uterine and or vaginal vault prolapse it is consistent with putting your hand in your pocket, grabbing the deepest point of the pocket with your fingers (i.e. the vault) and begin to pull it toward the opening. If you would pull the deepest point of the pocket past the pocket opening this would be called complete vaginal vault prolapse (in a patient without a uterus; she may have had a hysterectomy) and if the uterus comes past the vaginal opening this would be called complete uterine vaginal vault prolapse. Uterine and vaginal vault prolapse are most often missed during the diagnostic exams by most physicians and thus neglected at the time of surgery.
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Uterine Prolapse
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Dr. Miklos & Dr. Moore see patients on a weekly basis who have been misdiagnosed and advised to have surgery or even more sadly already had inappropriate surgery for their condition. Why, because they were misdiagnosed. Many surgeons who now offer vaginal rejuvenation know little or nothing about precise diagnosis of vaginal relaxation and thus just offer patients the same and often wrong vaginal rejuvenation procedures. A common adage is: if all you have is a hammer than everything begins to look like a nail….strongly applies to the situation and I am here to tell you that the human body is much more important than a nail.
Most surgeons offer the same procedures to tighten the vaginal walls no matter what the diagnosis. Missing the exact and appropriate diagnosis may neglect in treating an important part of your prolapse and thus result in going back to surgery in a matter or months for a redo and more advanced surgical procedure for the missed diagnosis. This is why it is medically necessary to obtain a correct diagnosis of your condition prior to scheduling any surgical procedure. So choose your surgeon based upon experience, expertise and quality instead of location. An appropriate evaluation could possibly save you a second surgery!!!
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