Somssi Women' Clinic

바로가기메뉴: 사이트 메뉴 바로가기; 본문 바로가기

Select Language

If you have any questions,
just ask!
MIRU will search for you
quickly and accurately!

Questions about surgery?
Worries hard to share?
Talk to Chatbot-YUN
We're here to help!

SITE MAP

Somssi ClinicAll Menu

Medical treatments

Program

Stem Cells

Stem Cells

Introduction to Somssi

Somssi TALK

Community

Lectures & Videos

Vaginal Laxity / Uterine Prolapse

AI-VOD

Somssi What is the surgical method for ‘vaginal relaxation’?

The outcome of vaginal relaxation surgery is determined by the experience
and skill of the vaginal surgeon.

What is vaginal relaxation?

[View details]
- The principle for women's vaginal relaxation is to treat it. The gynecological surgery textbook explains that 'all vaginal relaxation should be corrected with surgery'. Recently, Kegel exercise therapy, vaginal filler injections, and vaginal tightening treatment with high-frequency and ultrasound devices to improve vaginal contractility have been performed, but although the method is convenient, there are clear limitations in terms of effectiveness. In particular, in cases where vaginal relaxation is severe or there is a slight pelvic organ prolapse, it is not only not helpful at all, but can also cause more complications by missing the treatment period. Vaginal relaxation requires appropriate treatment depending on the severity. A skilled gynecologist manages severe vaginal relaxation with posterior vaginal opening surgical treatment and KFDA patented EMS electrical stimulation exercise therapy.
- Vaginal relaxation refers to a condition in which the vagina is stretched and loose, and the contractile force is very weak. In cases of vaginal relaxation, not only is sexual pleasure reduced, but also vaginal fluid secretion decreases and frequent vaginitis occurs. Frequent urination and urinary incontinence occur, and partners are sexually dissatisfied and do not want to go near you. When vaginal relaxation is mild, there is Kegel exercise therapy. However, Kegel exercise therapy takes a long time and is not suitable for busy modern people. In my 25 years as an obstetrician and gynecologist, I have never seen anyone treat vaginal relaxation or urinary incontinence with Kegel exercise. In reality, it is impossible for ordinary people to treat it with Kegel exercise.
  
  As an exercise therapy to replace Kegel exercise, I recommend the KFDA patented EMS electrical stimulation exercise therapy device. It is a multi-functional frequency muscle fiber stimulation exercise therapy device consisting of effective interference waves/medium frequency/low frequency. You can exercise while lying still or watching TV, and if you invest about 20 minutes a day, the effect of exercise therapy increases the more you do it.
  
  In the age of 100, the entire vagina from the vaginal opening to the inside of the vagina is loose, and pelvic organ prolapse, in which the uterus descends after menopause, is unavoidable. The normal position of the cervix should be about 7~8 cm inside the vaginal opening, and in cases where the uterus has descended, a uterine fixation surgery is necessary to fix the uterus to its normal position.
  
  In addition, the size of the vagina inside the vagina should be smaller or similar to the cervix to prevent pelvic organ prolapse in the future. If the size of the vagina and the thickness of the vaginal wall muscles are corrected to normal through surgery, various gynecological symptoms such as the feeling of a loose vagina, a escaping sound, frequent vaginitis, urinary incontinence, vaginal dryness, and sexual discomfort can be improved. After a skilled gynecologist's posterior vaginal opening surgery, the size of the vagina becomes smaller and narrower than the size of the cervix, so the lower vaginal wall becomes thicker with thick flesh, and the elasticity and contractility of the vagina increase.
If we summarize the surgical method for ‘vaginal relaxation’ in the gynecological surgery textbook, the goal of gynecological surgery for vaginal relaxation is to restore normal anatomy and create normal vaginal size and length. In other words, the goal of the surgery is to restore the vagina to its former state, including normal vaginal size and length, vaginal axis direction, and sphincter muscle layer. This means that the vagina must be restored to its normal state for pelvic health and satisfaction with sexual life.

Vaginal relaxation is often accompanied by uterine prolapse, and the treatment effect after a skilled gynecologist’s posterior colposcopy surgery was published as a paper in the Journal of the Korean Society of Obstetrics and Gynecology in May 2005, Vol. 48, No. 6.
To briefly summarize the surgical method for vaginal relaxation in the Tellinger surgical textbook, the surgical goal for vaginal relaxation is to recreate normal anatomy and restore normal vaginal length.

In other words, the goal of the surgery is to restore the normal vaginal diameter and length, vaginal direction, and sphincter muscle layer to the state before pregnancy and childbirth.

This means that satisfaction with pelvic health and sexual function is possible only when the normal anatomical state is restored. Vaginal relaxation and uterine prolapse often occur together, and the treatment effect after surgery is more than 95% in most cases.
Surgical scope

The length of the vagina from the vaginal opening to the cervix inside the vagina is about 8~9cm,
and the surgery is performed on the lower wall of the vagina, about 1 finger width wide.
The width of 1 finger is usually 2~3cm, and this is the surgical scope.

※The female vagina is an H-shaped cylindrical tube with the upper and lower walls touching each other, and the upper wall of the vagina is rich in erogenous zones such as the urethra, bladder, and G-spot. The lower wall of the vagina has a sphincter muscle layer between the rectum, and the Tellinger surgical textbook stipulates that surgery should be performed only on the lower wall of the vagina. Since the upper wall of the vagina does not have a sphincter muscle, the surgical effect is low, and there is concern about damage to the G-spot erogenous zone.
Surgical method
- The upper vaginal wall is supported by a traction device to secure the surgical space and field of vision. The lower vaginal wall is operated on with a width of about 1 finger, and the surgical range is not large, about 2~3cm.
- A small surgical instrument is inserted into the vagina to peel the vaginal mucosa thinner than 1mm. The peeling instrument is a small ophthalmic surgical instrument used in plastic surgery and eye surgery.
- The surgical width of the lower vaginal wall is about 2~3cm, and the surgical length is 8~9cm from the vaginal entrance to the front of the cervix.
- The descended uterus is lifted and tied with surrounding tissue to perform hysterectomy first.
- When the cervix is raised to its original position and fixed, the normal vaginal length is 8~9cm.
- The peeled part of the lower vaginal wall is sutured first, and it is a fold suture method.
  (The peeled part is folded in half like a fold phone and sutured with absorbable thread.)
※The vagina of a woman has many nerves, so the mucosa and muscles should not be cut.
If the vaginal mucosa is cut, surgical side effects such as decreased sexual sensation and vaginal dryness may occur. Small ophthalmic surgical instruments do not cut the mucosa thinner than 1mm, but only peel it.
The vaginal mucosa is peeled and folded without being cut, which helps the regeneration of nerves and blood vessels, and the secretion of amniotic fluid increases more than before.

Dr. Yoon Ho-joo

Somssi TV

The most important thing in
vaginal surgery is the skill of suturing.

The results of the surgery are determined by how well the sutures are made.
Whether it comes loose again or not is determined by the skill of the suture.

How is vaginal surgery performed?

[View details]

Surgical method
- The upper wall of the vagina is used to support instruments to secure surgical space and visibility. The lower wall of the vagina is operated on in an area about the width of one finger, and the surgical area is not large, about 1.5 to 2 cm.
- A small surgical instrument is inserted into the vagina to peel the vaginal mucosa to a thickness of less than 1 mm. The peeling instrument is a small ophthalmic surgical instrument used in plastic eye surgery.
- The surgical width is about 1.5~2cm from the lower wall of the vagina, and the surgical length is about 8~9cm from the vaginal opening to the front of the cervix. The descended uterus is lifted and tied with surrounding tissue to perform hysteropexy first.
- When the cervix is ??raised to its original position and fixed, the normal vaginal length is 8 to 9 cm.
- The peeled part of the lower wall is folded in the middle and sutured primarily with absorbable suture thread.
- The secondary suture is reinforced again in a spindle shape on top of the primary suture. The spindle-shaped suture technique pulls the quality on both sides of the primary suture area and sutures it in a spindle-shaped shape, completing the washboard-shaped earthworm surgery.
※The vagina of a woman has many nerves and blood vessels, so the mucosa and muscles should not be cut too deeply. If too much vaginal mucosa is cut, side effects of the surgery such as decreased sexual pleasure, vaginal dryness, and bleeding may occur. It is an important surgical know-how to perform peeling without cutting only the mucosa thinner than 1mm with a small ophthalmic surgical instrument.
Surgical scope

The vagina is inside the body, not outside, so it is difficult to operate inside the vagina. Laser vaginoplasty or traditional vaginal plastic surgery is a method of narrowing the vaginal opening and entering the vagina. The vaginal opening can be reduced, but the vaginal depth inside the vagina where the cervix is ??is about 8~9cm, so if the vaginal opening is reduced, surgery inside the vagina is impossible. Most of the time, it stops in the middle of the vagina. A skilled gynecologist starts the vaginal reduction from the front of the cervix inside the vagina and narrows it to the vaginal opening. By starting the vaginal reduction from the inside of the vagina, vaginal reduction is possible throughout the entire vagina. First, the surgical scope is designed. The total vaginal length is about 8~9cm, and the surgical scope design is about the size of one finger from the lower wall of the vagina, and the surgical scope is about 1.5~2cm.
What is vaginal reduction surgery on the upper wall of the vagina?

Usually, the vagina is a cylindrical tube shape with the upper and lower walls close to each other, 8~9cm long. The upper wall of the vagina is rich in erogenous zones such as the urethra, bladder, and G-spot, and the upper wall of the vagina is a very sensitive area for women in terms of sexual sensation. The lower wall of the vagina has a sphincter muscle layer between the vaginal mucosa and the rectal fascia, and in gynecological surgery textbooks, vaginal reduction surgery is performed on the lower wall of the vagina. The sphincter muscle of the upper wall of the vagina is weak and the mucosa layer is mainly abundant. Since the upper wall of the vagina has a risk of damage to the erogenous zones such as the urethra, bladder, and G-spot, vaginal reduction surgery on the upper wall of the vagina has far more disadvantages than advantages. TOT incontinence surgery on the upper wall of the vagina is performed on the vaginal mucosa, but sometimes, as a side effect of the surgery, you may experience decreased sexual sensation and numbness like a dead person. A good gynecologist will not recommend vaginoplasty on the upper vaginal wall.

Storytelling

Vaginal relaxation surgery effect

Vaginal relaxation, which is a condition in which the vagina is widened and has no contractile force, can occur along with uterine prolapse, in which the uterus descends. If the normal length and size of the vagina and the thickness of the vaginal wall muscles are corrected with surgery, uncomfortable gynecological symptoms such as a loose vaginal feeling, a escaping sound, frequent vaginitis, urinary incontinence, decreased vaginal fluid secretion, and decreased sexual pleasure can be improved by more than 90%.

The vagina is smaller and narrower than the size of the cervix, and the lower vaginal wall becomes thicker with thick flesh, increasing the vaginal contractility. After 5-6 months after surgery, the nerves and blood vessels in the lower vaginal wall regenerate and connect, increasing sexual sensitivity and vaginal fluid secretion. During sexual intercourse, blood gathers, making it hot and arousing, and tingling sexual sensations increase. When the lower vaginal wall becomes thick, immunity increases in the slightly acidic pH 3.8 environment inside the vagina, so vaginitis does not occur easily.

Best-Skilled Obstetrics & Gynecology Clinic , What is the Vaginal Plastic Surgery Method?

From the vaginal opening to the cervix, the thickness of the vaginal wall and vaginal reduction are performed simultaneously using the double suture method, a 25-year technique unique to Somsi, on the lower vaginal wall. The thickness of the vaginal wall is made thicker in the lower vaginal wall, and the diameter of the vagina becomes smaller and narrower than the cervix, preventing the uterus from descending any further.
The lower vaginal wall becomes thicker by 2~3cm or more, and it is composed of the mucous membrane layer, muscle layer, and fibrous connective tissue (fascia). The double-sutured thickened lower vaginal wall regenerates and connects blood vessels and nerves after about 5~6 months. It also increases the secretion of amniotic fluid and increases orgasm. The thickened lower vaginal wall increases contractility and immunity, prevents vaginitis and treats urinary incontinence, and increases sexual sensation during sexual intercourse and G-spot stimulation effects, which are much greater than when vaginal relaxation was present in the past.
Dystocia, fertility, and aging can cause uterine prolapse and uterine prolapse. In particular, the thickness of the lower vaginal wall in front of the cervix is ??very thin and weak, about 2mm, and the uterus has already descended and overlaps the posterior vaginal fornix, and the uterus occupies the entire inside of the vagina. (Posterior fornix. Posterior vaginal fornix).

Uterine prolapse symptoms, in which the uterus sags when standing, can be seen a lot with age, regardless of whether the woman gave birth naturally or by cesarean section. The skill is to make the vagina smaller than the cervix by making the thickness of the lower vaginal wall thick from the vaginal entrance to the front of the cervix. It fundamentally treats and resolves uterine prolapse and uterine prolapse caused by the inside of the vagina being wide and loose.

Uterine prolapse

What does the surgical textbook say
about uterine-vaginal prolapse?

Utero-Vaginal Prolapse

< Tellinger Surgical Textbook VII. P 839 >

In considering surgery for the correction of uterovaginal prolapse, the gynecologic surgeon is well advised to think in terms of surgical principles rather than think only adout a particular operative technique. For example: Remember that the uterus is not the cause of uterovaginal prolapse. Uterine prolapse is the result but not the cause. Doing only a hysterectomy will not solve the problem of prolapse. Indeed, it may not be absolutely necessary to remove the uterus in all cases. Removal of the uterus will facilitate repair of an enterocele. Leaving the uterus in place can facilitate repair of cystocele. Support for the vaginal walls, vaginal vault, and vaginal outlet is the most important part of the operation, not hysterectomy, although it is generally desirable to remove

Remember that the cause of uterine-vaginal prolapse is not the uterus. Uterine prolapse is a consequence, not a cause. Hysterectomy for patients with uterine prolapse is not the solution to the problem. Not all patients with uterine prolapse need a hysterectomy. If only the uterus is removed, other pelvic organ prolapse may recur. Alternatively, leaving the uterus alone can help with cystocele correction surgery. The most important part of the surgery is to strengthen the vaginal wall from the vaginal opening to the inside of the vagina.

Summary of textbook contents

The disease of prolapse refers to the uterus, rectum, and bladder protruding out of the vagina, and is called uterine prolapse, rectocele, and cystocele. When uterine prolapse occurs, general hospitals recommend surgery to remove the uterus. However, as explained in the Tellinger surgery textbook, For patients with uterine prolapse, surgery to remove only the uterus does not help solve the problem. Uterine prolapse is a result of the weak vaginal wall, not the cause. In fact, even if a hysterectomy is performed, there is a possibility that the symptom of prolapse will recur as the surgical site or the bladder and rectum descend. A variety of gynecological surgical methods have been developed to solve the problem of uterine-vaginal prolapse. The author of the textbook emphasizes that gynecological surgeons need to demonstrate their genius and creativity to help patients with uterine-vaginal prolapse, and that they need passion and effort.

The important thing in uterine prolapse surgery is not hysterectomy,
but strengthening the vaginal wall from the vaginal opening to the inside.

Somssi What is the surgical method for
'uterine prolapse'?

Regarding pelvic organ prolapse?

Rather than performing a hysterectomy to expose the uterus in uterine prolapse, it is better to strengthen the vaginal wall and perform a vaginal reduction surgery to make the vagina smaller than the uterus size to prevent the uterus from descending again and to raise and preserve the uterus in its original position.

The surgical area is designed on the lower wall of the vagina and peeling is performed first. [View details]: Special surgical instruments are needed to operate inside the vagina. The upper vaginal wall is supported by a vaginal dilator (retractor), the lower vaginal wall is set to a surgical range of 2-3 cm, and the vaginal mucosa is peeled from the vaginal opening to the front where the cervix is.

The posterior fornix, inside the vagina, is the most sensitive area. [View details]: The posterior fornix is ??the lower vaginal wall attached to the cervix. The rectum and the col-de-sac are closely attached 2-3mm below the posterior fornix. To protect the rectum and the col-de-sac from damage, a surgical instrument is needed to peel the mucosal epidermis thinner than 1mm. ※ ??The major surgical side effect in uterine prolapse surgery or posterior fornix surgery is damage to the rectum and the col-de-sac. To prevent surgical side effects, delicate peeling less than 1mm inside the vagina is absolutely necessary. In 20 years, there has never been a single surgical side effect that caused damage to the rectum or the col-de-sac.

The uterus and vagina are operated on together. [View details]: When standing, symptoms of uterine prolapse, where the uterus sag downward, can be seen a lot in women who gave birth naturally or by cesarean section as they age. The skill is to make the vaginal wall thicker from the lower wall of the vagina to the vaginal opening to the front of the cervix, so that the size of the vagina is smaller than the cervix. It fundamentally treats and resolves uterine prolapse and uterine prolapse caused by the inside of the vagina being wide and loose.

The suturing begins from inside the vagina. [View details]: If you start suturing from the vaginal opening, it becomes almost impossible to suture the inside of the vagina. It is natural to start suturing from the inside of the vagina and narrow it down to the vaginal opening.

The peeled part of the lower wall is first sutured, and it is a fold suture method. (Fold in half like a fold phone and sutured with absorbable thread)

Types of uterine prolapse

1st degree uterine prolapse

It is a condition in which the uterus has descended 3~4cm to the middle of the vagina. A skilled gynecologist treats uterine prolapse and 1st degree uterine prolapse with a posterior colposcopic surgery method.
2st degree uterine prolapse

The uterus has descended to the vaginal opening, part of the uterus can be felt by hand, and the uterus is exposed outside. Best-Skilled Obstetrics & Gynecology Clinic recommends performing a hysterectomy at a university hospital first, and then recommending Posterior Vaginoplasty for the loose vagina.
3st degree uterine prolapse

The uterus is completely out of the vagina. A hysterectomy is performed first at a university hospital, and then a posterior vaginoplasty is recommended for the loose vagina.

Key in uterine-vaginal prolapse surgery

The purpose of the surgery is to restore the normal size and length of the vagina, the direction of the vagina, and the sphincter muscle layer to the state before pregnancy and childbirth. This means that pelvic health and satisfaction with sexual life are possible only when the pelvic condition is restored to a normal state.
The surgical textbook explains that recommending only a hysterectomy to patients with uterine prolapse does not help solve the problem. The most important thing in uterine prolapse surgery is to strengthen the vaginal wall from the vaginal entrance to the inside of the vagina.
In uterine prolapse surgery, posterior fornix op refers to a surgery that thickens and narrows the lower vaginal wall in front of the cervix. Posterior fornix op is a surgery that can only be performed with more than 20 years of surgical experience. The vaginal wall itself is about 2mm thin, and underneath it are the rectum and the peritoneum called the colposus. Both the experience and delicacy of the surgeon are required.
The key to posterior fornix op surgery is the suture technique. The primary suture is a fold suture that folds the peeled part in half, and the secondary suture is a suture technique that thickens and strengthens the vaginal wall with a spindle-shaped suture.
1st degree uterine prolapse is a condition in which the uterus has descended to the middle of the vagina. 100% normal restoration is possible with the posterior colposuspension surgery.

Storytelling

If you see uterine-vaginal prolapse, it means that your pelvic health is completely ruined. You can see that there are many gynecological problems that can occur. Stress incontinence and overactive bladder symptoms, frequent urination, frequent vaginitis, chronic cervicitis, constipation, gas in the lower abdomen, and a loss of confidence and satisfaction in sexual life, and avoidance of marital relations. Mental depression can also occur. It is difficult to stand or exercise for a long time, and it greatly interferes with social life, so the will to live decreases.

The fact that surgery can be performed inside the vagina means that it can operate on patients with
uterine prolapse and solve the problem of the bottom falling out.

After the uterus is removed, the inside of the vagina is very wide and weak, so the feeling of being very empty can cause psychological depression and depression. In fact, the bladder, rectum, and the surgical site where the hysterectomy was performed often fall out. Therefore, the textbook explains that hysterectomy does not help solve the problem.

The 1st degree uterine prolapse surgery raises the uterus that has descended to its original position and uses the tissue around the cervix to fix the uterus. When the inside of the vagina is very wide and loose and it is difficult to perform surgery, the posterior colposuspension surgery focuses on the suturing technique inside the vagina.

Women, that pleasant change!

The posterior colposuspension surgery performed by a skilled OB/GYN is a surgical method inside the vagina that treats uterine prolapse and 1st degree uterine prolapse. The descended uterus is raised to its original position, and suturing is started from the inside of the vagina to narrow the vaginal opening and come out.

The descended uterus is raised to its original position and the tissue around the cervix is ??tied to fix the uterus inside the vagina. It is a surgical method that secures a normal vaginal length of 8~9cm, and restores the pelvic muscles with double suturing from the front of the cervix to the vaginal opening, and performs vaginal reduction surgery at the same time.

Can it be restored to the size of the honeymoon period?

The true taste of your love and happiness!

This is clearly the goal of women's surgery!

Do a posterior colpoperineorrhaphy in all cases, if possible.

Perineal vaginoplasty should be performed on all women who have had a pregnancy or childbirth, if possible! (Tellinger Surgery Textbook VII. P. 839)

Principles of perineal vaginoplasty explained in
the Tellinger Surgery Textbook

recreate normal anatomy
normal vaginal length
A shortened vagina is more likely to prolapse again.

In other words, the goal of the surgery is to restore the normal vaginal diameter and length, vaginal direction, and sphincter muscle layer to the state before pregnancy and childbirth. This means that pelvic health and sexual function satisfaction are possible only when the condition is restored to a normal state. In the case of uterine prolapse and 1st degree uterine prolapse, a skilled obstetrician and gynecologist can achieve a satisfactory surgical result and restore vaginal contractility in more than 90% of cases.

Somssi Vaginoplasty surgery method

Step 1 Two important factors that increase satisfaction and confidence in sexual life: vaginal pressure and vaginal size View details

The contraction pressure of the vagina is important for the sphincter muscle layer in the lower wall of the vagina, and the sphincter muscle layer acts as the central area of ??the entire pelvic organs.
The sphincter muscle layer is important for sexual function, and if it collapses, sexual sensation is lost, and vaginitis, cystocele, rectocele, pelvic organ prolapse, and urinary incontinence occur.
The higher the contraction pressure, the better the thickness and elasticity of the sphincter muscle layer, and the higher the satisfaction in sexual life for both men and women.
The sphincter muscle layer is thick in the perineum between the vaginal opening and the anus, but it 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 in the posterior fornix is ??often thinned to about 2 mm.
If the thickness of the lower wall of the vagina is about 3 mm, there is almost no vaginal contraction and elasticity, and a feeling of needing to defecate may occur during sexual intercourse.

Step 2 General anesthesia + local anesthesia surgery View details

General anesthesia has a sedative effect, and local anesthesia has a pain-suppressing effect during surgery!

Partial anesthesia uses a mixture of three long-acting local anesthetics. There is no pain during the surgery, and it provides a long-term pain reduction effect after the surgery.
Posterior colposcopy surgery is performed first under general anesthesia, and then under local anesthesia. If the patient does not want it, general anesthesia can be omitted and the surgery can be performed under local anesthesia only.
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 you can be discharged on the same day.

Step 3 Design + Vaginal Mucosal Peeling View details

First, the inside of the vagina is widened with a retractor to secure surgical space. (★Retract: A device that supports the upper vaginal wall to secure surgical space)

Design the surgical scope.
The entire length of the surgery is from the vaginal opening to the front of the cervix, and the surgical scope is determined for each individual at 2cm, 3cm, and 4cm.

In the vagina, surgery is performed starting from the lower vaginal wall with vaginal mucosal peeling.

Posterior Vagina Dissection (PVD)

Within the designed scope, the vaginal mucosa is peeled using a micro ophthalmic surgical tool to make the vaginal mucosa thinner than 1mm.
In particular, if the vaginal wall thickness is very thin, about 2mm, careful and detailed peeling is performed.
Since vaginal mucosal peeling only peels off the epidermis without cutting the vagina, it preserves the nerves and blood vessels within the surgical range, preventing decreased sexual sensation, decreased vaginal fluid secretion, and decreased bleeding.

Step 4 Hysteropexy View details

The uterus that has descended is lifted up, and the loose tissue around the cervix is ??tightly tied to fix the uterus.
Hysteropexy is effective in treating uterine prolapse.

★ What is the feeling of the bottom falling out?

My body is tired normally / I am tired even after exercising / My uterus seems to have descended

Step 5 Vaginal reduction + pelvic muscle restoration View details

The vaginal mucosa and muscles are sutured together in a second step to create a washboard fold and embossing shape.

The sphincter muscles that are spread out from the inside of the vagina to both sides are gathered and tied together. The first muscle restoration is performed from the inside to the entrance. (Fold Suture)
The first muscle restoration is performed with a special absorbable suture, and then the vaginal mucosa and muscles are sutured together in a spindle shape in a second step to create a washboard fold and embossing shape.

Fusiform Stylish Suture. (FSS)

Step 6 Confirmation of surgical results View details

After drinking, check with your own before/after photos to give confidence.
Contraction pressure is the elasticity of the vagina determined by the sphincter muscle, and the vaginal size is the general vaginal size that the skill aims for.

The success or failure of the surgery is determined by the surgical results inside the vagina.