Vaginal shortening can occur after any gynecologic surgery. When shortening occurs, it can be one of the most difficult complications to correct.
Procedures that could cause vaginal shortening include:
Vaginal shortening can also occur after cervical or uterine cancer surgery and radiation therapy.
On the right is the side view of a surgically shortened vaginal vault
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Pain with intercourse or not being able to have intercourse is the number one complaint of patients with a shortened vagina. Patients state that they had no problem with sexual intercourse prior to their surgery, however after surgery the vagina is either too short or there is pain with thrusting.
Non-surgical interventions include:
There are many invasive procedures utilizing skin grafts, muscle flaps, biologic animal grafts or even bowel to lengthen the vagina, however these techniques can be unnecessarily invasive with possible higher complication rates especially when compared to the technique Drs. Miklos & Moore utilize.
The Davydov procedure is routinely used to create vaginal canals in young women that are born without a vagina, however Drs. Miklos and Moore were one of the first surgeons in the world to successfully utilize this procedure to lengthen surgically shortened vaginas.
Drs. Miklos & Moore have been performing the laparoscopic Davydov procedure since 1999.
Drs. Miklos and Moore have been able to modify the Davydov procedure to create vaginal length in patients with shortened vaginas. It is the least invasive technique, with minimal complications and gives the greatest chance of vaginal lengthening success. The patient’s own internal tissue (i.e. the peritoneum which is the lining of the pelvis) is mobilized and utilized to lengthen the vagina, therefore no external grafts are necessary and the risk of scarring down is minimized.
Drs. Miklos and Moore have helped women with shortened vaginas after cervical cancer and radiation therapy. Patients who have undergone radiation therapy often have severe scarring. This is considered one of the most complicated types of patients to lengthen a vagina, however they have used the procedure successfully.
Drs. Miklos & Moore have successfully restored vaginal length in women who have failed other surgical lengthening procedures. They have successfully utilized the laparoscopic Davydov technique on patients who have already undergone and failed: McIndoe, Vecchietti, and Gracillis flap procedures, or other vaginal lengthening procedures including attempts at lengthening with dermal grafts.
The shortened vagina is opened and the peritoneum from the pelvis is advanced down to the opening to create the lining of the new vaginal canal.
Patients that have had previous surgery cannot believe how much easier the approach was with Dr. Moore and Miklos and the results they achieved after the procedure resulting in a normal, full length, functioning vagina!