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Innovation in Intim Area Reconstruction

Most women may have heard about the importance of strengthening the perineal muscle, especially during pregnancy and after childbirth. Involuntary urine loss and incontinence, on the other hand, which affects the majority of women at one point in their lives, are often taboo. Sometimes even Kegel exercises are ineffective to tackle the problem – that’s when intim area reconstruction comes to the rescue.

Organs of the pelvis minor or lesser pelvis – the bladder, the womb and the ovaries – are supported by the perineal muscles, which are often referred to as “sphincter muscle”. Childbirth, physical strain and obesity may cause serious tear and wear of the perineal muscle, which can stretch, weaken and get torn as a result, failing to support the reproductive organs in the lower abdomen. Typical symptoms include urinal and faecal incontinence and sexual problems. Most common is stress incontinence, which means that physical exertion, sneezing, laughing or coughing could induce involuntary urine loss. It takes roughly 6 to 12 months after childbirth for the perineal muscles to recover and possible mild symptoms to disappear. Intimate gymnastics is usually helpful in these cases. However, the unpleasant condition may persist over time, causing discomfort. Laser treatment could be the solution for mild incontinence (leaking urine) and loose vaginal muscles, while the more serious cases of permanent incontinence and uterine prolapse require surgery. 

Ask the expert - Dr. Dániel Dubecz, gynaecologist and obstetrician at Dr. Rose Private Hospital, specialising in incontinence surgery 

Surgery is most likely unavoidable in case of foreign object feeling, pain or pressure in the vagina, or the slack muscles and prolapse cause sexual problems. Persistent urine incontinence is typically treated with TOT and TVT sling surgery: instead of the atrophic muscles, a synthetic incontinence sling implant takes over and supports the urethra. This surgical procedure has a 97-98% success rate in completely treating serious urine incontinence. None the less, it is important to bear in mind that it is only an option when a woman has no plans for further childbirth and pregnancy. The 90-minute procedure is done in localised spinal or general anaesthesia. Patients fully recover in a few weeks.