Vaginal Rejuvenation

"Vaginal Rejuvenation"

This is a terminology that has been brandished around lately in the media because of its sensational appeal. It is trade-marked in the USA by a Dr.Matlock, and is therefore propriety, and can only be used if you have paid a fee and attended a 3 day course in his clinic. A laser is used as the cutting instrument, hence is called laser vaginal rejuvenation (LVR).

Essentially, it involves tightening of the muscles around the vagina. These muscles are usually stretched or torn during delivery, and if not correctly repaired at the time of delivery, followed by good postnatal exercises, will loosen with time.

The surgical procedure is commonly termed anterior and/or posterior colporrhaphy, or sometimes simply called pelvic floor repair. If there is associated stress urinary incontinence, an addition procedure is carried out at the same time by way of a mid-urethral sling (TVT).

This new terminology is sensational, and adds nothing to the time honoured procedures. The use of the laser to do the surgery adds no advantage, although it is claimed to cause little bleeding.

What is important for the patient to know is that this "new procedure" has never been published in established medical journals or demonstrated in any medical/surgical forum. It is propriety, and therefore cannot be demonstrated even to medical colleagues. In short, it has to be kept a secret! This is against the code of medical practice as governed by the Hippocratic Oath, which preaches that all medical/surgical treatment should be shared by all medical practitioners if it is for the good of the patient It has only been advertised in tabloid publications. Included in this vaginal rejuvenation, is G-spot enhancement to heighten sexual enjoyment. This G-spot is not an anatomical landmark.

Theoretically, it is said to be located on the anterior (front) vaginal wall at the junction between the bladder and the urethra (urinary passage). It cannot be identified by clinical examination or any other mean, and varies from individual to individual. The objective of the publicity on these "new procedures" is that they improves sexual response and enjoyment. Please remember that sexual enjoyment between man and woman is dependent on many factors, the least of which is the anatomy of the man and woman. If there is need to rejuvenate the vagina, what about rejuvenating the penis!! Why does the responsibility of improving sexual response fall on the anatomy of the woman only?