Can you tell what this is? Bladder or Rectum or both? Tough to tell unless you do a lot to these types of evaluations and surgeries. I have been fooled myself.
On the left side are the Before pictures. On the right side are the After pictures. Notice the speculum used in the bottom row? That is called a Half Speculum Exam. It isolates the bulge.
Let me show you the steps on how I do the exams using a Half Speculum (the bottom of a standard speculum). If you have this problem then make sure your doc uses this method of evaluation. Don’t let them get away with a mediocre exam.
When she bears down a large spongy ballon comes out. What is it? She lacks confidence in her appearance and thinks it is not sexy nor attractive. She wants the bulges repaired and to look like she did before babies.
She pushes and this round thing comes out. Like a baby’s head! Can you see a small slit across the very tip of the bulge? That is the cervix hanging out with the uterus behind it.
I put a Half Speculum on the floor of the vagina to cover the rectum. That isolates the bladder and prevents the rectum from bulging out. Can you see the slit across the cervix?
I put a Half Speculum on the roof of the vagina to cover the bladder. That isolates the rectum below and prevents the bladder from bulging out. No cervix here.
About to start surgery in the operating room with the patient asleep. My Lone Star Retractor is placed, a catheter is in the bladder, and at rest you can see the wavy reggae of the vaginal wall covering the bladder.
During surgery I have dissected the bladder and covered it with a patch made out of cadaver dermis (skin) and tacked it back to strong ligaments.
Immediately After Surgery. I have the catheter in place for a few days, the vaginal packing will be removed in a few minutes. You can see the sutures used to repair the vaginal opening and giving her the eventual look of never having had a baby. She gets her virginal look back.
Six weeks after surgery and she is healing quite well!
The Bulges are gone. The Vaginoplasty and Perineoplasty also done give her that beautiful youthful appearance and function.
That same Half Speculum exam shows that the Bladder bulge is gone!
That modest rectal Bulge is also gone and the floor if now firm and able to create friction during sex. The spongy waterbed-like floor has been repaired!
She is now 2 Fingers tight across just like before the babies!
The tightness and reduction in the diameter is full-length and not just the opening. She has friction from the entry to the top. Her angles have been returned to be like her pre-baby self!
I hope you have enjoyed this newsletter and have learned some new things to improve your health. I always welcome your input and inquiries. Email me directly. Tell your friends and families about this Feminine Wellness Newsletter. Much of the content is free and is released every couple of weeks.
For the Lay Public and Medical Professionals: Feminine Wellness Newsletter
DALLAS OFFICE Alinsod Institute Dallas Women’s Wellness Institute of Dallas Preston Sherry Plaza 8201 Preston Road Suite 520 Dallas TX 75225 Phone: 945-900-7576 Contact: Dian: dian@womenswellnessinstitute.com
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