Aesthetic Clinique, Body, Skin & Wellness Centre
E John Serrão, MD, FACOG, FAACS, FAAAAM
Specializing in Modern Cosmetic-Plastic Gynecology
Call 407-896-3772 or Toll Free 866-834-3297
Female Anatomy & GlossaryProceduresVaginal Rejuvenation, Cosmetic-Plastic GYNLabiaplastyThermiVaG-Spot Enhancement

Vaginal Relaxation is the Loss of the Optimum Structural Architecture of the Vagina
In vaginal relaxation; the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, the sensual side of sexual gratification is diminished. LVR® was designed to enhance sexual gratification for women who for whatever reason lack an overall optimum architectural integrity of the vagina.

Women throughout the world have said that they want to be, “like 16 years old, 18 years old, or as if they never had children." LVR® is the answer. DESIGNER VAGINOPLASTY®

Thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence. Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging or a combination of both. Grouped together these problems are referred to as pelvic relaxation.

Many women suffer unnecessarily from conditions involving pelvic relaxation. If you have any of these symptoms described in this section, contact us at (407) 896-3772 or e-mail us. Appropriate diagnosis and treatment will often restore patients to a life free of the aggravations and discomforts associated with pelvic relaxation.

The goal is to acquaint you with the various forms of pelvic relaxation as well as their causes, symptoms, and treatment. The pelvic organs include the vagina, uterus, bladder, and rectum. These organs are held in position by three types of supports: 1) muscles, 2) sheets of tissue called fascia 3) and ligaments. When these supports become damaged for various reasons, one or more of the pelvic organs may sag and occasionally, even protrude outside the vagina. These are called pelvic support defects.

During childbirth, as the baby passes through the birth canal, the muscles, fascia, and ligaments separate and may be weakened. This weakening gradually worsens and, in later years, may cause the pelvic organs to drop from their normal positions.

Occasionally, this weakening of the muscles and tissue may occur in women who have never had children. In these women, the cause may be:

  • Inherited weakness of the supporting tissues
  • Unusual strain placed on the supporting tissues by a chronic cough
  • Unusual increases in abdominal pressure
  • Obesity

http://www.lvrsouthflorida.com/images/fig2.jpgThe general symptoms associated with pelvic relaxation depend on which organs are affected. Often there is a feeling of heaviness or fullness. Small or moderate amounts of urine may be lost with normal physical activities such as laughing, coughing, walking, or running. In more advanced and rare cases, a mass may actually protrude from the vaginal opening. Based on the organ or organs involved, pelvic support defects can be defined more specifically as:

  • Cystocele
  • Urethrocele (most of the time the cystocele and urethrocele occur in combination - cystourethrocele)
  • Rectocele
  • Enterocele
  • Uterine prolapsed

A cystocele occurs when the bladder falls or descends from its normal position. The most common symptom associated with cystocele is difficulty in completely emptying the bladder. This can be associated with bladder infections. Large cystoceles can cause the bladder to overfill and allow small amounts of urine to leak. Leakage is most common during activity such as walking or bouts of coughing.

A urethrocele usually occurs in conjunction with a cystocele. Both of these conditions result in, among other things, involuntary loss of urine, particularly when there is increased pressure in the abdomen, caused by walking, jumping, coughing, sneezing, laughing, or sudden movements.

A rectocele is the bulging of the rectum into or out of the vagina. This usually occurs as a result of injuries sustained during childbirth. With a weakened or bulging rectum, bowel movements become more difficult.

An enterocele is the bulging of small intestines into the back wall of the vagina

Uterine prolapse occurs when the uterus falls or is displaced from its normal position. There are varying degrees of severity depending on the descent. This produces a general felling of heaviness and fullness, or a sense that the uterus is falling out.

The diagnosis of these problems includes a through history and physical examination. Tests may be performed, depending on the circumstances, include a "Q-tip" test (to determine the mobility of the urethra), urodynamic studies (a painless fifteen to twenty minute computerized bladder and urethra functional study), urethrocystoscopy (evaluation of the inside of the bladder and urethra), X-rays of the urinary system.

For all practical purposes, definitive treatment is surgical correction of the specific defects.

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Orlando, Cocoa Beach, Daytona Beach, Tampa Bay, Jacksonville, Fort Lauderdale, Boca Raton, & Miami
Serrao Rejuvenation Center, 2905 McRae Avenue, Suite 2, Orlando, Florida 32803 Serrao Rejuvenation Center, OrlandoBody ContouringLVR ResultsLVR Special Events, OrlandoLVR Financing

E. John Serrão, MD, FACOG, FAACS, FAAAAM | Larissa R. Serrão, RN, ACE
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