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- 1. What makes your vaginal tightening surgery different from other clinics?
- 2. Can you explain posterior colporrhaphy in simple terms?
- 3. I’m worried because my labia are dark and one side is longer than the other.
- 4. My vagina feels loose and sometimes makes a whooshing sound — is there a good solution?
- 5. I’m postmenopausal — is surgery still possible after menopause?
- 6. What makes surgeries at Somssi Obstetrics and Gynecology special?
- 7. Can vaginal tightening surgery narrow the inner vaginal canal, not just the opening?
- 8. How does vaginal tightening surgery affect female sexual function?
- 9. What is the AI-based prediction system used at Somssi Obstetrics and Gynecology?
- 10. What is the average recovery time after posterior vaginal repair surgery?
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Mrs. Vaginoplasty(Vaginal Tightening Surgery, Posterior Vaginal Repair Surgery)
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Among the various surgical methods,
Why is Somssi Posterior Vaginoplasty the most satisfactory?
Why is Somssi Posterior Vaginoplasty the most satisfactory?
- 01
The surgery starts from the front of the cervix in a tube-shaped 8~9cm vagina.
- 02
The uterus and vagina are operated on together.
- 03
The inner part of the vagina cannot be operated on with a cutting instrument because the vaginal wall is thin.
Ophthalmic microscissors are the smallest surgical instruments that prevent rectal damage, and vaginal mucosal
peeling is performed with experience and manual skills. - 04
After tying the sphincter muscles in the peeled area and performing pelvic muscle restoration surgery, the mucosa and muscles are sutured again for the second time to create washboard wrinkles and embossing-shaped waves.
- 05
After the surgery, you can check the Before / After right away to give you confidence.
- 06
This surgery was published as a clinical paper on the surgical effect in the Journal of the Korean Society of Obstetrics and Gynecology.
- 01
Vaginal wall thickness test,
vaginal size test - 02
Sleep anesthesia
+ local anesthesia surgery - 03
Design + minimal
vaginal mucosal peeling - 04
Hysteropexy
- 05
Vaginal reduction surgery +
pelvic muscle correction surgery
01
Examination of vaginal wall thickness and vaginal size
The two things that increase sexual satisfaction and self-confidence are vaginal tightening and vaginal size.
[View details]
- When the vagina is relaxed, the internal diameter of the vagina widens and the contracting sphincter muscles become loose, so the feeling of tightness disappears and sexual climax is reduced.
- The sphincter muscle layer is sexually important, and if it becomes weak or collapses, sexual pleasure is hindered, and pelvic organ prolapse and urinary incontinence occur.
- The higher the contraction pressure, the better the elasticity of the sphincter muscle layer, and the higher the probability of reaching pleasure and orgasm during sexual intercourse.
- The sphincter muscle layer of the perineum between the vaginal opening and the anus is about 2~3cm thick, but the sphincter muscle layer between the vagina and the rectum gradually becomes thinner as it goes into the vagina.
- In particular, when the inside of the vagina is stretched and loose and there is uterine prolapse, the sphincter muscle layer in the posterior vaginal fornix is ??often thinned to about 3~4mm.
02
Sleep anesthesia + local anesthesia surgery
Partial anesthesia uses a mixture of long-acting local anesthetics. It is painless during surgery and provides long-term pain relief after surgery. If the patient does not want general anesthesia, the surgery can be performed under partial anesthesia alone. There is no painful memory during the surgery, and you can talk to the Dr.. The pain is not severe after the surgery, so you can walk right away and be discharged on the same day.
03
Design + Delicate Vaginal Mucosal Peeling
- 01
Surgery scope is designed first.
- 02
Determine the length from the vaginal opening to the front of the cervix, and the width is 3cm to 6cm. The surgical scope is determined based on the size and age of the vagina.
- 03
Use micro-ophthalmic surgical tools to peel the vaginal mucosal skin thinner than 1mm. Ophthalmic surgical micro-scissors have blades as small as 1~2mm, so they cannot be used for incision or excision, and are used to peel the skin thinly and delicately.
- 04
If the vaginal wall thickness inside the vagina is very thin, such as 3~4mm, careful and gentle vaginal mucosal peeling is required.
- 05
Vaginal mucosal peeling is a technique to peel only the epidermis thinly to less than 1mm without cutting the vaginal wall. It can prevent rectal perforation, which is the biggest surgical side effect inside the vagina.
- 06
Since vaginal mucosal peeling does not cut the vagina, it preserves the nerves and blood vessels well, preventing surgical side effects such as decreased sexual sensitivity and decreased amniotic fluid secretion.
04
Hysteropexy
The uterus that has descended is lifted up, and the loose tissues around the uterus are tightly tied to fix the uterus.
Q. What is the feeling of the bottom falling out?
Body is tired normally.
Feels heavy as if the uterus is at the bottom.
Lower abdomen hurts during intercourse.
Back hurts in case of retroverted uterus.
05
Vaginal reduction surgery + pelvic muscle correction surgery
- 01
The suture technique that narrows the vagina by the peeled area reduces the size and volume of the vagina from the inside of the vagina to the vaginal opening like when you were a virgin.
- 02
The sphincter muscles exposed in the peeled area are combined and tied to the middle to perform pelvic muscle restoration surgery.
- 03
The vaginal mucosa and muscles are sutured again for the second time to complete the washboard wrinkles, embossing, and earthworm surgery waves.
- 04
After the surgery, you can check your before/after photos to give you confidence.
- 05
Contraction pressure is the elasticity of the vagina due to the sphincter muscles, and the vaginal size that is targeted by the skill is the feeling of the vagina being tightly squeezed with two fingers.
Dr. Yoon Ho-joo objectively proves the excellence of surgery
Dr. Yoon Ho-joo's female sexual function
Domestic and international academic society papers presented
Best-Skilled Obstetrics & Gynecology Clinic When Surgery Is Needed
- 01
A feeling of looseness inside the vagina (vaginal relaxation)
- 02
A feeling of the bottom falling out (uterine prolapse)
- 03
A feeling of the uterus descending (uterine prolapse)
- 04
Recurrent vaginitis
- 05
A feeling of the uterus touching during intercourse and discomfort in the lower abdomen.
- 06
The vaginal opening is open and water enters.
- 07
Rectocele and cystocele
- 08
Recovery of confidence and satisfaction in sexual life.
- 09
Before remarriage or for a new start.
- 10
Past plastic surgery is not effective.
- 11
When you want to remove filler or implant foreign bodies and have a second surgery.
Among all these Vaginoplasty,
Why should it be Somssi Posterior Vaginoplasty?
The rear jultion dog surgery is inside the vagina
Reduce the front part of the cervix.
Therefore, if you have an electrical or laser equipment,
There is a high risk of work and peritoneal perforation.
- 01 In skill, the inner surgery is used for special surgical methods and instruments. View details
-
In order to enter the vagina depth and surgery, the vaginal mucosa is a core technique. The upper wall of the vagina is supported by the towing instrument (Retreat) and secures the field of view and space for surgery. Scissors are made of mucosa. Cine vaginal mucosa can not be operated with a cut -out medical device, or a laser.
On the day when the mucosal skin is thinner than 1mm, it requires very small surgical instruments like eye surgery, and the vaginal mucosa is delicately mucosal with a micro scissors for eye surgery. The potential side effects in rear dog surgery are rectal damage, peritoneal damage, and bleeding. The inner side of the loose vagina is thinly thin, between the laps and the rectum, and the peritoneal gap between only 3 mm.
Micro scissors for ophthalmology are not a surgical device that cuts the vaginal mucosa because it is small about 1 ~ 2mm. After surgery, surgical side effects such as pain, sexual disorders, and reduced secretion are prevented by surgery.
- 02 The lower wall inside the vagina is about 3 mm of the gap between the rectum and the peritoneum. View details
-
The inner part of the thin and weak vaginal vagina can get vaginal tightening and vaginal reduction effects with high frequency equipment and ultrasound equipment, which is almost impossible when judged as a 25 -year clinical experience. The entrance to the vaginal mucosa is maintained to some extent, so you can see some high frequency, ultrasound and filler injection effects.
Women's vaginal plastic surgery, rear jetgae dog surgery,
The longer you study one area, the more
The definition is given and the doctor's philosophy is.
Creating thick flesh throughout the bottom wall of the vagina Somssi < Posterior Vaginoplasty >?
01
Best-Skilled Obstetrics & Gynecology Clinic's vaginal reduction surgery creates thick flesh throughout the vaginal tube-shaped vaginal entrance to the front of the vagina. Due to the thick flesh, the size of the vaginal diameter becomes smaller, and the size of the vagina becomes smaller than the cervix. As a result, it is protected so that the uterus does not come down and prevents the uterus and uterine depression.
02
Through 2 ~ 3 cm of thick flesh over the bottom wall of the vaginal lower wall, it consists of a vaginal mucosal layer, a muscle layer, and a fiber -phase binding tissue. The thickened vaginal lower wall is a special suture that is absorbed and absorbed with a special suture that is absorbed by half vertically and sutures to create thick flesh and wrinkles.
03
The thick vaginal lower wall is my flesh tissue, so the blood vessels and nerves are regenerated and connected, and the increase in immunity, improved sexuality and laceration are also increased. Petit plastic surgery, such as high frequency equipment, ultrasound equipment, and filler injections, is simple and convenient, but experienced people should continue to repeat at a lot of money, and in the end, they are not satisfied with petit procedures. Also, the difference from the face skin is not enough to solve the various wives and problems caused by childbirth and aging with petit plastic surgery.
BEFORE
- Dystocia and polycystic ovary syndrome, rapid labor, and aging As the vagina stretches, most of the muscles disappear. The lower vaginal wall is thin and very close to the rectum.
- The uterus is felt by hand as it falls out. The vaginal wall is exposed to the outside by the rectal and cystocele.
AFTER
- The uterus is lifted into place, and hysteropexy is performed first.
- The core of the surgery is to create a thick mass of flesh from the vaginal opening to the front of the cervix, and to narrow the diameter of the vagina to be smaller than the cervix to prevent uterine prolapse.
- The thick mass of flesh on the lower wall of the vagina is my own tissue composed of the mucous membrane layer, muscle layer, and fibrous connective tissue, so the blood vessels and nerves are regenerated. It can solve uncomfortable gynecological symptoms and even improve sexual function.
Vaginoplasty
Traditional Vaginoplasty, which starts from the
vaginal opening, inevitably has side effects after menopause.
Since the vagina stretches and becomes looser after childbirth than when you were newly married, you can simply cut the vaginal mucosa and suture it to make it smaller.
Since the vaginal opening is easy to operate on, reduction surgery starting from the vaginal opening is called ‘traditional vaginoplasty’ and is a surgical method that is commonly performed in most hospitals.
‘Laser vaginoplasty’ is the same surgery, except that the vaginal mucosa is cut with a laser instead of a scalpel or scissors. However, as the female hormone estrogen decreases after menopause, the vaginal opening may develop atrophic vaginitis, or sexual intercourse pain or impotence may occur along with decreased amniotic fluid secretion.
< Vaginal surgery method >
(1) In cases where the inside of the vagina is wide, the vagina is larger than the cervix, and the uterus often already descends. The design requires delicate peeling of the lower vaginal mucosa from the vaginal opening to the cervix, with a size of 2~3cm, and a hand technique of less than 1mm. For delicate mucosal peeling of less than 1mm, ophthalmic surgical scissors are used, and since the rectum and peritoneum are located close to 3mm from the inside of the vagina, delicate surgical experience and hand technique are important to avoid injury at all.
Posterior Vagina Dissection (PVD)
The vagina is rich in blood vessels, so the method of peeling the vaginal mucosa with ophthalmic micro scissors without cutting the mucosa, that is, micro vaginal mucosal peeling, can only be performed by a vaginal plastic surgery specialist with at least 15 years of experience. Micro vaginal mucosal peeling preserves the nerves and blood vessels well, reducing postoperative pain and preventing surgical side effects such as decreased sexual sensitivity or decreased amniotic fluid secretion.
Fusiform Stylish Suture (FSS)
The fusiform suture technique is characterized by creating a thick fleshy mass from the lower wall of the vagina. In the field of sexology, the publication of an SCI(E)-level paper in the Journal of Obstetrics and Gynecology is the first by a Korean doctor and can be cited as a scientific and te chnological paper.
(2) In cases where the vaginal opening is usually open, the length of the perineum is also shorter than normal. In cases where there is a rectal prolapse or cystocele where the vaginal mucosa is exposed to the outside, the perineum can be made stronger and more durable by strengthening the figure 8 muscle while reducing the vaginal opening. After perineum reconstruction surgery, the length of the perineum between the vagina and the anus is increased by more than 4 cm.
(3) If you have a hysteropexy inside the vagina, you can check it with a photo. After the surgery, you can check the before/after photos and the results of the surgery 8 weeks later with a photo.
Before/after comparison photos taken immediately after surgery cannot yet tell the exact results because of the swelling and sutures. For example, with double eyelid surgery, the eyes are swollen immediately after surgery due to the swelling and sutures, so it is difficult to tell if the surgery was successful. The same goes for perineal vaginal plastic surgery. Immediately after surgery, the waves and wrinkles appear to be significantly increased due to the swelling and sutures, and the vaginal reduction appears to be exaggeratedly narrow. After 8 weeks (approximately 2 months), when all treatment is completed, the sutures are absorbed, and the swelling has disappeared, the exact results of the surgery can be judged by photos taken inside the vagina.
2. First, general anesthesia is used, and then the surgical site is anesthetized.
After the surgery, there is little pain, so you can move and walk right away.
You can even play golf in a week.
Total vaginal relaxation surgery
- After pregnancy and childbirth or due to aging
- The vagina is wide and the sphincter muscle layer is very thin
- There is no strength to hold and tighten the vagina
- When the sphincter muscle is reduced, blood vessels and nerves also disappear, so sexual pleasure decreases and amniotic fluid decreases
- The vagina's immunity is weakened, and vaginitis and urinary incontinence also occur
- Total vaginal relaxation re-creates a thick layer of flesh, or sphincter muscle, throughout the lower vaginal wall.
- The size of the vagina becomes smaller and narrower than the cervix, preventing uterine prolapse.
- The thick mass created through surgery is my own tissue, so blood vessels and nerves regenerate and connect well, and it has the effect of increasing amniotic fluid secretion and improving sexual function.
Pelvic sphincter muscle creation surgery
- After pregnancy and childbirth, most of the pelvic sphincter muscles are lost due to aging.
- The uterus feels like it is descending and the length of the vagina is reduced.
- The ability to control the pelvic organs is reduced. In other words, the urethral bladder function is reduced, and the anal and rectal functions are also reduced.
- The center that supports and controls the pelvic organs is the pelvic sphincter muscle layer between the vagina and the rectum.
- The core of the surgery that raises the uterus to its proper position, corrects the length and width of the vagina, and corrects the muscles of the vaginal wall is to create a thick mass of flesh on the lower vaginal wall.
- It can solve most of the uncomfortable gynecological symptoms.
Posterior Vaginoplasty Information
Check out the Posterior Vaginoplasty information
Surgery time
50 minutes to 1 hour
Anesthesia method
Sleep anesthesia + local anesthesia
Suture removal
Special absorbable suture
Inpatient treatment
50 minutes to 1 hour
Number of visits
For those living in the provinces or abroad, Self-treatment is possible without visiting the hospital
Treatment process
Complete absorption in 1 week, Sexual activity possible after 7 to 8 weeks
No worries about side effects from surgery!
Surgery performed directly by the head Dr.
One surgery in a lifetime is enough
It is recommended that the upper wall of the vagina not be surgically removed if possible.
-
There are not many sphincter muscles on the upper wall of the vagina that hold and tighten the vagina, so vaginal reduction surgery on the upper wall is not effective.
-
Since the upper wall of the vagina contains important organs such as the urethra, bladder, and G-spot, and damage to the erogenous zones can cause decreased sexual sensation and urination problems, it is wise not to perform surgery on the upper wall of the vagina.
-
You may think that if you perform surgery on both the upper and lower walls of the vagina, the vaginal reduction effect will be greater, but that is absolutely not the case. It is wise to perform vaginal reduction surgery on the entire lower wall of the vagina as much as possible.
A hot and splendid woman, a captivating charm UP!
If you have uterine prolapse
Compare and analyze Hysterectomy VS Posterior Vaginoplasty carefully
and make a safe and advantageous choice!
Uterine prolapse is a condition in which the uterus prolapses outside the vagina due to congenital weakness of the ligaments and muscles that support the uterus or due to acquired causes such as dystocia, multiple births, and rapid labor.
Uterine prolapse is accompanied by other pelvic organ prolapse, such as rectal prolapse, bladder prolapse, perineum, and anus. This uterine prolapse can worsen when standing for long periods of time at work, and is also accompanied by symptoms of urinary incontinence, frequent urination, and sagging hips.
There are various treatment methods for uterine prolapse, but Posterior Vaginoplasty performed at Best-Skilled Obstetrics & Gynecology Clinic is a surgical method that preserves the uterus. The uterus that has descended is returned to its original position and the tissues surrounding the cervix are sutured to perform hysteropexy.
Best-Skilled Obstetrics & Gynecology Clinic Culdeplasty
A safe and effective surgical method proven in gynecological surgery textbooks with over 100 years of tradition.
◈ Lower vagina, Perineum, Middle vagina
When the length of the vagina is divided into three parts, it is considered to be divided into the lower part, middle part, and upper part of the vagina. And vaginoplasty is performed to the lower part and middle part of the vagina by perineum reconstruction and vaginal reduction. The rectum and vagina are connected to each other by a fibrous membrane in the lower and middle parts of the vagina. The surgical scope is from the perineum to the middle part of the vagina.
The lower wall of the stretched vaginal skin is peeled off thinner than 1mm, the sphincter muscle is tied, the pelvic muscles are restored, and the vagina is narrowed again by the peeled area, using a suture technique to reduce the size and volume of the vagina from the lower part of the vagina to the middle part of the vagina.
The wrinkles and protrusions of the vaginal wall are evenly grabbed in a straight line from the upper part to the lower part of the vagina to narrow the vagina and the vaginal wall is waved with wrinkles in the shape of a washboard or gravel field. (Te Linde's Textbook of Gynecology and Surgery, pp. 945-947)
◈ Upper vagina
When the length of the vagina is divided into three parts, the upper part of the vagina has thinner muscles and weaker strength to support the vaginal wall. That is why uterine prolapse and vaginal relaxation are easily caused by childbirth and aging. The upper part of the vagina is called the Posterior Fornix, and outside of it is a pocket-shaped space called the Cul-de-sac, which separates the rectum and the vagina.
A. Appearance of peeling all the way to the upper part of the vagina. B. The fascia and muscles surrounding the upper part of the vagina and the fascia and muscles surrounding the upper part of the uterus and the uterosacral ligament are sutured together. As the stretched and loose lower wall of the vagina thickens, the diameter of the upper part of the vagina becomes smaller and narrower. And the strength supporting the uterus and the upper part of the vagina also becomes stronger.
◈ Upper vagina
What is Cul de Sac?
The uterosacral ligaments are connected to both sides at the bottom of the uterus, and a space is created between them called the Douglas sac or Cul de Sac, which is lined with peritoneum. Cul de Sacoplasty is a surgery that closes the Cul de Sac, narrowing the upper part of the vagina to strengthen the strength that supports the cervix and the Posterior Fornix.
Surgical method
When the upper part of the vagina is stretched and loosened, the posterior fornix has excessively stretched vaginal mucosa and an empty space called the cul de sac below it. If the skin mucosa is peeled off to less than 1 mm from the middle of the vagina to the cervix and folded to the middle and sutured, the uterosacral ligament that was divided into two behind the cervix will come together in the middle, and the posterior fornix will be reduced, and the upper wall of the vagina will be thickened. The stretched vaginal mucosa in the upper part of the vagina is peeled off and folded to close the cul de sac. As a result, the upper part of the vagina also strengthens the strength that supports the cervix and vaginal wall. (Te Linde's Textbook of Gynecological Surgery, pp. 708, 885, 703)
In the case of multiparous cases, the posterior vaginal fornix is ??greatly relaxed, so some of the excessively stretched vaginal mucosa can be removed. In the case of retroversion, the vaginal axis is reduced vertically, making it easier for the uterus to descend. The closure of the Cul-de-Sachs, which gathers the uterosacral ligaments that are divided posteriorly in the Cul-de-Sachs, can prevent early and mid-stage uterine-vaginal prolapse and vaginal relaxation, and provide sufficient support for the upper part of the vagina. However, this method is insufficient for severe uterine prolapse, and a hysterectomy is necessary. (Te Linde's Textbook of Gynecological Surgery, pp. 720. 885. 720F)
As the pressure of the uterus descending down to the pelvis increases, vaginal relaxation becomes more severe. Dr. Te Linde`s says in his textbook on gynecological surgery that even if there is only one of vaginal relaxation or uterine prolapse (uterine prolapse), a corrective surgery is necessary. After removing the vaginal mucosa in a rectangular shape, muscle sutures and vaginal mucosa sutures are very effective for early or mid-stage uterine-vaginal prolapse and vaginal relaxation, and complete uterine prolapse requires a hysterectomy. (Te Linde`s Textbook on Gynecological Surgery, pages 842-847)
In the upper part of the vagina, the posterior vaginal fornix is ??peeled thinly to less than 1 mm → Cul-de-Sachs closure is performed by suturing the uterosacral ligament → The diameter of the vagina is reduced in the upper part of the vagina and the vaginal wall is thickened → Prevention and treatment of early and mid-stage uterine ptosis and vaginal relaxation are possible (Te Linde's Textbook of Gynecological Surgery, 722-723)
Whenever possible, attempt to re-create normal anatomy. Narrow the caliber of a large vagina, but not so much that intercourse will be difficult, painful, or even impossible. Results of the operation will be better, however, if a large-caliber vagina is narrowed. But the most important requirement for satisfactory support and a good result is a vagina that is normal in caliber and length with its apex secured at an appropriate position posteriorly over the levator plate and into the hollow of the sacrum.
A satisfactory result from the surgery can be said to be the restoration of normal vaginal length, diameter size inside the vagina, vaginal axis direction, and pelvic muscles. It can be said that the best response and result are achieved in optimal physical conditions.
◈ Perineal Vaginoplasty Surgery Method
Step 01
Vaginal wall thickness and vaginal size examination
- When examining the inside of the vagina, if the diameter of 2 fingers is about 3~4cm, the circumference (circumference) of the inside of the vagina is 12cm.
- In other words, a vaginal size with a circumference of up to 12cm does not require surgery, and if the circumference is usually 14 or 15cm or more, it is stretched and loose, so the surgical range is 2~3cm of the lower vaginal wall.
- The average vaginal length is 8~9cm, and the surgical range is 2~3cm of the lower vaginal wall in the shape of a stick from the vaginal entrance to the front of the cervix.
Step 02
Surgical method
- After peeling the lower vaginal mucosa to a thickness of less than 1mm, the diameter and volume of the vagina from the front of the cervix to the vaginal opening are reduced using a suture technique.
- The 2~3cm width of the lower vaginal wall to be peeled is folded to the middle and sutured to change the thickness of the lower wall, and the remaining 12cm of circumference that is not peeled is left inside the vagina.
Step 03
Surgical Results
- When examining the inside of the vagina, the lower wall of the vagina should feel thick, firm, and muscular, and the mucous membrane inside the vagina should feel loose and sticky like a curtain.
◈ Core know-how
In order to further enhance the surgical effect, the entire lower vaginal wall from the inside of the vagina to the vaginal entrance is evenly and thickly held in a straight line of 8~9cm to narrow the vagina, and the vaginal wall is also made into a washboard-like wave. The lower vaginal wall is peeled into a stick shape (8~9cm in length and 2~3cm in width), folded in the middle to tie the muscles, and then the mucosa is attached again. You may think that the surgery is over, but the surgical know-how depends on the suture technique. It is divided into primary and secondary sutures, and in addition to peeling, a suture technique is needed to pull the muscles from both walls and gather them in the middle and tie them. The sutured shape should be like a lump or mini mass, and the suture should be made in a lumpy sugar cube shape to give the feeling that the lower vaginal wall is thick, firm, and has a lot of muscles, and the mucosa should give a feeling of looseness.
-
The vaginal mucosa is not cut. Therefore, surgical instruments for cutting such as lasers or scalpels are not used.
View details -
Laser instruments, scalpels, and surgical scissors are surgical methods for cutting vaginal tissue. In cases where the inside of the vagina is loose, the vagina and rectum are very close together and the sphincter muscles between them are thin, so there is no lower vaginal wall tissue that can be cut with a resection instrument. The tube-shaped vagina is normally about 8~9cm long. In order to operate inside the vagina, the surgical instrument must be inserted 8~9cm inside, but no matter how much the vagina is stretched, only 2~3 fingers can fit inside. How can you hold laser instruments and perform surgery when you can't even put your hand inside the vagina?
Laser surgical instruments are instruments that shoot laser rays from outside the vagina to resect, and they cannot be inserted inside the vagina. Therefore, the range of resection that can be performed by shooting laser rays is from the vaginal opening to the middle of the vagina. Since the lower vaginal wall inside the vagina is close to the rectum, there is a very high risk of rectal perforation if a cutting instrument like a laser is used. The surgery inside the vagina requires a surgical instrument that peels off thinner than 1mm. Then, the peeled part is folded in half and sutured, and the vaginal wall muscles are thickened and the vaginal reduction surgery is completed.
-
The surgery is performed using vaginal mucosa pe eling, a surgical method that does not cut.
View details -
To operate 8~9cm inside the vagina, a special surgical method is needed because the field of vision is poor and the space is narrow. In order to secure the necessary field of vision and space inside the vagina, the upper wall of the vagina is supported by a vaginal dilatation device (retract), and the lower wall of the vagina is guided with one finger and the vaginal mucosa is peeled with ophthalmic surgical micro scissors.
Since the vaginal tissue has many nerve distributions, if the vaginal mucosa and muscles are cut, side effects such as decreased sexual sensation and decreased vaginal fluid secretion may occur. Vaginal mucosa peeling, which peels the skin thinner than 1mm with ophthalmic surgical micro scissors, preserves the vaginal nerves and blood vessels well. Since the vaginal wall tissue is peeled without being cut, it prevents aftereffects such as decreased sexual sensation, decreased vaginal fluid secretion, and severe pain after surgery.
-
The surgery begins from the inside of the vagina.
View details -
The vagina is a cylindrical tube-shaped structure with an average length of 8~9cm. If muscle sutures and vaginal reduction surgery are started from the vaginal opening, it will be difficult to operate on the inside of the vagina later. If you want to operate on the entire vagina, it is natural to start from the inside of the vagina and narrow it down toward the vaginal opening.
-
The uterus and vagina must be operated on together.
View details -
The uterus and vagina are connected to each other and are a single structure, so they must be operated on together for a perfect vaginoplasty. If the inside of the vagina is widened and feels loose, there is a high probability of experiencing a feeling of the bottom falling out and uterine prolapse, which is when the uterus descends. The uterus is raised back up by the length that the uterus descended, and the tissues around the uterus are tied to fix the uterus.
The sphincter muscles are tied in the peeled area to restore the pelvic muscles, and the vagina is narrowed again by the peeled area, and a vaginal reduction surgery is performed from the front of the cervix to the vaginal opening using a suture technique. Posterior colporrhaphy, which treats uterine prolapse caused by postpartum complications or congenital weakness of the pelvic muscles, is widely known as a vaginoplasty that protects the uterus.
-
Check the surgery result photos
View details -
Even if you explain the surgical method with a 3D image, it is not as good as one picture of your vagina that shows the results of your surgery. If you are not confident in your vaginal surgery, you cannot show the results of your surgery to your patients with pictures.
Pictures that show only the vaginal opening are meaningless, and you should be able to immediately check the results of your surgery inside the vagina before and after. That is posterior colposcopic surgery.
Colpoperineorrhaphy
Why is a “Gynecological Surgery Textbook” necessary?
Recently, various vaginal plastic surgeries such as M-sling, implant surgery, vaginal filler, and laser surgery have appeared, but in reality, these are surgical contents that are not found anywhere in Tellinger's gynecological surgery textbook. Vaginal relaxation and pelvic organ prolapse resolution have been a long-standing task for our obstetricians and gynecologists throughout human history. Many gynecological surgical techniques have been developed here.
The author of the gynecological surgery textbook, Dr. Te Linde`s (1894-1989), emphasized that various geniuses and creativity should be used to develop surgical methods and solve problems well. Originally, a woman's uterus and vagina are scientific and excellent structures that have been completed through a long evolution to this day. The uterus and vagina that have become weakened and collapsed due to pregnancy, childbirth, aging, and frequent sexual intercourse cannot be restored to excellent structures by inserting silicone rubber bands or injecting vaginal fillers.
What a gynecologist does is normal vaginal diameter size (3~4cm), normal vaginal length (8~9cm), upper and lower vaginal axial direction (130°), and pelvic muscle restoration. So, for the best response and health, normal restoration of the collapsed uterus and vagina is the basic.
40-50 years ago, Jews first developed a silicone rubber packing called pessary. They used pessary silicone to fit the size of women with uterine prolapse and put it inside the vagina to prevent uterine prolapse. At that time, there was an advertising slogan that said, “Even Cleopatra, the queen of Egypt who gave birth to four sons, put a small palm fruit that was softened and put it inside the vagina to prevent uterine prolapse, which is the beginning of pessary.” It was popular all over the world for a long time, but it is hardly used today.
Because silicone foreign substances are inserted into the vagina, vaginitis and ulcers occur, and above all, the smell is so bad that it is almost disappearing now. Te Linde’s Gynecological Surgery Textbook has collected only the most reliable gynecological surgical methods and teaches them like a bible to all gynecologists around the world.
The principle of surgery in vaginal relaxation and uterine prolapse symptoms? It is to restore the normal state of the uterus and vaginal structures. The best response and health are gifts of normal pelvic restoration.
Whenever possible, attempt to re-create normal anatomy. Maintain normal vaginal length. Suspend the vagina in its posterior direction over the levator plate. (Tellinger Gynecological Surgery Textbook VII, 839) Whenever possible, attempt to re-create normal anatomy. Maintain normal vaginal length. The normal vagina should be located over the levator plate.
Obstetrician and Gynecologist Dr. Ho-Joo Yoon's Core Competency
Innovative New Issues
Informing the world of the effects of the Pretty Girl Surgery on female sexual function
Presentation of domestic and international papers on female sexual function
Whenever possible, attempt to re-create normal anatomy. Maintain normal vaginal length. Suspend the vagina in its posterior direction over the levator plate. (Tellinger Gynecology and Surgery Textbook VII, 839) If possible, normal anatomy Dr. Yoon Ho-joo's thesis was the first in Korea to publish a thesis that combined the pretty girl surgery with functional improvement. Dr. Yoon Ho-joo's thesis elevated the purpose of the surgery that had been suturing the posterior vaginal wall beyond the purpose of treating rectal prolapse to the purpose of facilitating marital relations. In addition, it became possible to build a system to analyze and reveal the problems of sexual dysfunction that had remained an unexplored field.
However, this should never be connected to the fact that all hospitals perform it because it is directly related to the posterior vaginal surgery of a skilled gynecologist. According to Dr. Berglund and Dr. Fugl-Meter KS, there is a report that stress incontinence surgery, which is one of the vaginal surgeries, "further reduces orgasm ability."
There are also reports that sexual function worsens or has no effect on sexual function. According to Dr. Black NA and Dr. Bowling A, conventional vaginal surgery causes scarring of the vaginal wall, loss of elasticity, and damage to the nerves, which alters the blood circulation of the vagina and causes physical sexual arousal disorders, which in turn decrease sexual function. Therefore, if it is made narrow and small, it only hurts and there is no physical response.
However, it was reported in a paper that perineal plastic surgery (posterior colpopexy & figure 8 muscle strengthening surgery) performed at a good obstetrics and gynecology clinic can improve and enhance sexual function by correcting anatomical defects that have caused sexual function decrease due to weakened pelvic muscles after pregnancy, childbirth, sexual intercourse, or childbirth. In terms of sexual satisfaction, it helps improve satisfaction between couples and overall sexual life by changing from a passive and passive role before surgery to an active position after surgery.
Therefore, the unexplored field of posterior colposcopic surgery, which is a pretty surgery, has brought about a great revolution for women over the years, and has opened the way to relieve the structural changes of the vagina due to childbirth, lack of confidence, anxiety due to aging, and stress from the husband. When a couple feels excited, happy, and pleasured during sex, the body reacts physically by secreting amniotic fluid smoothly, contracting the vagina, and increasing the vaginal temperature.
Until now, posterior colposcopic surgery, which is called the pretty surgery, has not been available at research-intensive institutions such as university hospitals. In the reality of the Korean medical community, sexual function problems were an unexplored field. There was a lack of proper treatment methods after analyzing and revealing them, but Dr. Ho-Joo Yoon, a skilled obstetrician and gynecologist, was the first in Korea to publish a clinical research paper on the correct treatment method for sexual function. This clinical research paper was performed at a skilled obstetrician and gynecologist, so it should not be expanded to other hospitals. Restore it quickly. Maintain the normal length of the vagina. A normal vagina should be located above the levator ani.
Best-Skilled
Obstetrics & Gynecology Clinic
Posterior Vaginoplasty
Obstetrics & Gynecology Clinic
Posterior Vaginoplasty
