Vaginal Rejuvenation Raleigh

Endometrial Ablation

Endometrial ablation is a procedure that destroys (ablates) the uterine lining, or endometrium. This procedure is used to treat dysfunctional or abnormal uterine bleeding. Sometimes a lighted viewing instrument (hysteroscope) is used to see inside the uterus. The endometrium heals by scarring, which usually reduces or prevents uterine bleeding. Endometrial ablation is done in our state-of-the-art surgical center. The procedure can take up to about 45 minutes and may be done using a local or spinal anesthesia.

What To Expect After Surgery

After the procedure, you may have some side effects, such as cramping, nausea, and vaginal discharge that may be watery and mixed with blood. This discharge will become clear after a couple of days and can last for around 1 to 2 weeks. It takes a few days to 2 weeks to recover.

Why It Is Done

Endometrial ablation is used to control heavy, prolonged vaginal bleeding when bleeding has not responded to other treatments, you are finished having children, you prefer not to have a hysterectomy to control bleeding or you don’t want to have a period anymore.

Other medical problems prevent a hysterectomy.

How Well It Works

Most women will have reduced menstrual flow following endometrial ablation. And up to half will stop having periods.

Vaginal Rejuvenation

Vaginal Rejuvination or Tightening (decreasing the inner size of the vagina) is performed by Drs. Toma and Mulvaney as an outpatient surgery in our state of the art surgical suite. If there is a dropped or protruding bladder, or a relaxed and protruding rectum, this surgery may be medically indicated for the repair of pelvic prolapse, including cystocele and rectocele repair. A thorough evaluation may reveal such an abnormality which could be a symptom of a more relaxed vagina and decreased muscular tone of the pelvic muscles.

Rectocele

A rectocele occurs when the thin wall of fibrous tissue (fascia) separating the rectum from the vagina becomes weakened, allowing the front wall of the rectum to bulge into the vagina. Childbirth and other processes that put pressure on the fascia can lead to a rectocele. A small rectocele may cause no signs or symptoms. If a rectocele is large, it may create a noticeable bulge of tissue through the vaginal opening. Though this bulge may be uncomfortable, it’s rarely painful. When treatment of a rectocele is necessary, self-care measures and other nonsurgical options are often effective. In severe cases, you may need surgical repair.

A rectocele occurs when the wall of fibrous tissue that separates a woman’s rectum from her vagina weakens, allowing the front wall of the rectum to bulge into the vagina.