• I am very pleased with the surgery and my results. Dr. Vitasna is a very nice lady and I’d recommend her to all my friends for surgery. Thank you

  • Everything was so great! Doctors, nurses, procedure, private room are very nice! Specially nurses work in this hospital are top notch! I cant thank more! I’d recommend this place to anyone. Thank you!

  • Very efficient and the staff are very friendly. They take you through all the process and explain things clearly. This makes a foreign hospital experience so much easier.


Dr. Vitasna’s goal is to understand and listen to every woman’s desires and needs, offering them alternatives regarding their cosmetic/plastic and medical sexual health conditions.


Cosmetic Vaginal Surgery + Vaginal Rejuvenation + Urogynecology - Most of our specialized surgeries are considered minor out-patient procedures.


Vaginoplasty/ Vaginal Rejuvenation / Vaginal Tightening or Posterior Vaginal Repair is a surgical procedure performed to fix Vaginal Relaxation.

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Anterior Posterior Vaginal Wall Repair for Pelvic Organ Prolapse 1

When the muscles and ligaments supporting a woman’s pelvic organs weaken, the pelvic organs can slip out of place (prolapse). Pelvic organ prolapse can worsen over time and you may need surgery to fix it. This is due to the fact that the muscles of the perineum, the group of supporting muscles located below the low part of the vaginal opening become thin and the mid-line begins to deviate, thus leading to a weakened, poorly supportive, thinned out perennial body.

The cause of pelvic wall relaxation is a weakening of the pelvic support structures (see the illustration below). The pelvic organs include the vagina, uterus, bladder, and the rectum. These organs are kept in place with the help of 3 support systems from muscles, ligament sheets and fascia. During the course of childbirth, as the baby journeys through the birth canal, these supports become damaged and tend to become weakened. This weakening increasingly worsens, and further on down the line, may cause the pelvic organs to shift from their normal positions.

The underlying cause of pelvic support faults or defects are:

bullet_tickBirth trauma such as multiple vaginal deliveries
bullet_tickDifficult or prolonged deliveries (the use of forceps)
bullet_tickAging (lack of estrogen resulting from menopause)
bullet_tickTearing or cutting of the vaginal opening for delivery
bullet_tickChronic constipation and stress (affecting bowel movement)
bullet_tickAfter a hysterectomy, as it needs the cutting or damaging various pelvic floor muscles including the ligaments and tissues supporting the upper vagina around the cervix

Every once in a while, the weakening of the muscles and tissues of  the vaginal wall can occur to women who have never birthed a child. In these women, the underlying cause(s) may be:

bullet_tickAbnormal increases in abdominal pressure.
bullet_tickInherited weakness of the supporting tissues.
bullet_tickExtraordinary tension placed on the supporting tissues due to a chronic cough.

Anterior Posterior Vaginal Wall Repair is a surgery for the loss of optimal structural integrity of the anterior and the posterior walls of the vagina, resulting in different organs around the vaginal walls pushing and forming a bulge into the vagina or the vaginal opening.

Because of technological advances, gynecology procedures involving the use of laser have been utilized in anterior-posterior vaginal repair. Advantages of laser over old, conventional scalpel procedure include: less blood loss, little or less risk of vessel and tissue damage, precise and accurate surgical wound control, and quicker recovery time and better overall results

There are 4 methods of correcting prolapse of the vagina as follows.

bullet_tick1) The Kegel exercise is safe but would have to take 6 months until results would show, and does not guarantee full effectiveness.
bullet_tick2) The posterior vaginal repair is the procedure to narrow the diameter of the vagina which results to a smaller and tighter vaginal canal and opening. However, this procedure also has its limitations in patients with multiple deliveries.
bullet_tick3) The Anterior and Posterior Vaginal Repair is the surgical repair of pelvic prolapse by entailing the surgical removal of excess anterior and posterior vaginal tissues as well as bladder and rectum prolapse, thereby correcting the prolapse, at the same time tightening the vagina.
bullet_tick4) The Incisionless Laser Vaginal Tightening  is a new trend of innovation to the Cosmetic Gynecology for mild to moderate pelvic prolapse, this procedure has limitations and cannot guarantee the results and satisfaction. After the procedure you will experience less pain and no bleeding, compared with the surgical or incision laser method. The post-operative care is only refraining from sexual intercourse for 1-2 weeks after the procedure.

Anterior Vaginal Wall Prolapse

Anterior Vaginal Wall Prolapse


Posterior Vaginal Wall Prolapse

Posterior Vaginal Wall Prolapse


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