Welcome To Aguirre Specialty Care

The Center for Female Pelvic Medicine and Cosmetic Surgery

Oscar Aguirre
Aguirre Specialty Care (ASC) is known as THE center for female pelvic medicine and cosmetic surgery. Founded more than 10 years ago by Dr. Oscar A. Aguirre, MD, FACOG, ASC’s unwavering mission is to help women improve their body comfort levels and quality of life. ASC specializes in urogynecology, cosmetic gynecology, body contouring and dermal aesthetics. Dr. Aguirre and the team at ASC are proud to have a collaboration with biodentical hormone expert, Shawna Stephan, P.A. -C Shawna provides patients who have hormonal issues with access to natural bioidentical hormone treatment. Please inquire about our program when you make an appointment with Dr. Aguirre or send an email to Letha, our Patient Coordinator. Our wide variety of services are designed to enhance many aspects of our patient’s lives.

If you are looking for specialized surgical care – ASC is the right choice. Our team strives to empower women with knowledge, choice and alternatives. Whether you are looking for urogynecological treatment options, want to recapture your youth or just give yourself a little touch up, ASC is here to help you look and feel your best. Our education-based philosophy allows you to weigh each of your treatment options and make the best decision for you based on your individual needs and values.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Vaginal Relaxation

In the United States, 30 million women experience symptoms of stress incontinence and vaginal relaxation. These women might not be able to control their urine flow during certain activities, or they might see a change in their bowel movement. These symptoms might come from a typical group of problems that arise due to aging, childbirth, or both. These problems are called pelvic relaxation. 

If you are experiencing any of the symptoms described throughout this section, please call us at 303-322-0550 or send us an e-mail. It is not necessary to suffer from pelvic relaxation. Our goal is to familiarize the patient with the different kinds of pelvic relation and their treatment, causes, and symptoms. The rectum, uterus, vagina, and bladder are the pelvic organs, which are supported by muscles, ligaments, and tissues (fascia). If this support system is damaged, the pelvic organs might sag and even bulge in the vagina. This occurrence in the pelvic organs is referred to as defects in pelvic support. 

In vaginal childbirth, when a baby exits, the muscles, ligaments, and fascia within the birth canal may weaken. This weakness becomes worse throughout the years and could lead to pelvic organs descending from their regular positions. 

This weakness in the tissue and muscles might also happen in women who have never been pregnant. For these women, the weakening might arise due to an inheritance of weak tissue, overexertion of the tissues due to a chronic cough, pressure increase in the abdomen, or being overweight. 

What pelvic relaxation symptoms a person experiences is due to the organ that is affected. A heavy or full feeling or urine leakage, especially during activities like running, walking, laughing, or coughing, could be felt. In advanced cases, there might be a protrusion from the opening of the vagina, although this is rare. 

Defects in pelvic support are defined by the organ they affect. These defects are: urethrocele, cystocele, rectocele, uterine prolapse, and enterocele. Urethrocele and cystocele commonly occur together. 

In a cystocele, the bladder descends, and it can usually become difficult to empty the bladder, which can cause bladder infections. In larger cystoceles, the bladder overfills and urine leakage is present. This urine loss happens most frequently during activities like walking or coughing. A urethrocele typically arises when a cystocele is present. Both conditions lead to unwanted urine loss, especially with abdomen pressure during walking, coughing, jumping, laughing, or sneezing. 

In a rectocele, the rectum protrudes in the vagina, and it usually happens because of childbirth injuries. If the rectum is weak or protruding, passing a stool becomes difficult. An enterocele is the protrusion of the small intestine against the back vaginal wall. A uterine prolapse is when the uterus descends from its place. The severity of this descent varies, creating a feeling of fullness or heaviness and a feeling that the uterus could fall out. 

To reach a diagnosis for these conditions, it is necessary to do a review of a patient’s medical history and a physical exam. Other tests include urodynamic studies, which is a 20-minute computerized study of the urethra and bladder functions, Q-tip tests, X-rays, and an urethrocystoscopy, which is an instrument that evaluated the urethra and bladder from the inside. 

Please visit the website Aguirre Specialty Care (http://www.bladdersolution.com) for complete information relating to vaginal relaxation. 

In most cases, surgical treatment will correct these defects.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Urogynecology Services

Laser Vaginal Rejuvenation®

Laser Vaginal Rejuvenation® for the enhancement of sexual gratification and/or Laser Vaginal Rejuvenation® for the correction of stress urinary incontinence.

Designer Laser Vaginoplasty®

Laser Reduction Labiaplasty of the labia minora. Aesthetic Reconstruction and Enhancement of the Vulvar structures damaged by childbirth, trauma, aging, and certain deformities. Laser Perineoplasty for the aesthetic rejuvenation of aging (sagging) vulvar structures and introitus. Laser Hymenoplasty for restoration of the hymen. Aesthetic Augmentation Labiaplasty of the underdeveloped, or aging labia majora via autologous fat transplantation. Liposculpturing for the aesthetic reduction of the prominent or protruding mons pubis and labia majora.

Combination of Laser Vaginal Rejuvenation® and Designer Laser Vaginoplasty®

Laser Vaginal Rejuvenation® can be performed in combination with any of the Designer Laser Vaginoplasty® procedures. Procedures in the Designer Laser Vaginoplasty® category can be combined in various combinations.

Combination of Laser Vaginal Rejuvenation® and/or Designer Laser Vaginoplasty® with other Cosmetic Surgical Procedures

Laser Vaginal Rejuvenation® and/or Designer Laser Vaginoplasty® can be combined with most cosmetic surgical procedures.

Gynecologic Surgery

Cosmetic Gynecologic Surgery is divided into both sexual enhancement surgery and cosmetic enhancing surgery.

The Colpexin Sphere
The Colpexin Sphere is an intravaginal device designed to treat pelvic organ prolapse and enhance the performance of pelvic floor muscle exercises.

Vaginal Relaxation
Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits.

Vaginal Reduction
Labial Reduction is Labiaplasty, often spelled labioplasty. It is a cosmetic vaginal surgery, which can enhance appearance and self-esteem.

Vaginal Enhancement
There is great variation in the size of the labia minora. Women will notice elongated or large labia as early as puberty or following pregnancy.

The G-Shot
The G-Shot® is a painless office procedure performed in your doctor’s office under local anesthesia. The actual injection usually takes less than 8 seconds and the total office visit time is usually less than 30 minutes.

Labiaplasty
Many women request labia rejuvenation, or external vaginal cosmetic surgery, despite not having children. For them, the most common reason for requesting labiaplasty is to get an improvement in appearance.

Large Labia Reduction
Large Labia Reduction Surgery is the aesthetic surgical enhancement of the vulvar structures –the labia minora, labia majora, mons pubis, perineum, introitus, and hymen.

Hymenoplasty
Hymenoplasty is a surgical procedure designed to repair and reconstruct the thin skin membrane partially covering the opening of the vagina, known as the hymen.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Pelvic Relaxation

Definition 

Pelvic relaxation occurs when the ligaments and muscles that make up the pelvic floor weaken. The pelvic floor then sags, pressing against the vaginal wall. This usually develops due to childbirth, support problems, and aging. 

The floor of the pelvis holds the bladder and uterus. When the pelvic floor is damaged or stretched, the bladder and uterus might descend to the vagina and can even bulge through the opening of the vagina. When the uterus sags, it is considered uterine prolapse. When the bladder sags, it is called either a cystocele or bladder prolapse. It is possible for organs like the intestine or rectum to sag due to a weak pelvic floor. 

Symptoms and Causes 

Pelvic relaxation can be caused by childbirth, constipation, obesity, heavy lifting, or a chronic cough. This condition can develop post–menopause, when less estrogen is present in the body, causing a loss in muscle tone. Minor cases of pelvic relaxation might not exhibit symptoms. But severe cases of pelvic relaxation can be accompanied with an ache in the groin, lower back, lower abdomen, or vagina. Pressure or heaviness in the vagina, problems having bowel movements, and recurring infections of the urinary tract are all symptoms that can arise. Another symptom is difficulty controlling the bladder, which increases with activities like sneezing, coughing, or heavy lifting. 

Diagnosis and Treatment 

Bladder tests and a complete examination of the pelvis can help determine if pelvic relaxation is present. Kegel exercises and supplements containing estrogen can improve symptoms of pelvic relaxation by strenghtening the muscles in the pelvic floor. A doctor can also recommend a pessary, which is a device shaped like a ring, to be inserted in the vagina. This device prevents the bladder and uterus from sagging into the vagina. Although it is not always necessary, surgery can fix a sagging uterus or bladder. A hysterectomy can also be performed, which removes the uterus. A doctor might recommend maintaining a regular weight, refraining from activities that exert the pelvic floor, and eating a diet that is high in fiber, which can ease the passing of stool. 

Prognosis and Prevention 

Kegel exercises can correct minor cases of pelvic relaxation. More serious cases do not typically improve with exercise or supplements containing estrogen but can be improved through surgery or an insertion of a pessary. 

Maintaining a normal weight, refraining from lifting heavy objects, and avoiding bowel movement strains limit exertion on the pelvic floor and can prevent pelvic relaxation. 

Key Terms 

Cystocele: Protrusion of the bladder in the vagina

Cystourethrocele: Protrusion of the neck of the bladder in the vagina

Enterocele: Sagging of the intestine in the vagina

Kegel exercises: Exercises that strengthen the muscles in the pelvic floor and improve bowel and bladder control

Pessary: A device shaped like a ring that is inserted in the vagina to prevent organs from sagging

Rectocele: Protrusion of the rectum against the wall of the vagina

Uterine prolapse: Protrusion of the uterus in the vagina

Vaginal prolapse: Protrusion of the upper part of the vagina into either the bottom part of the vagina or the vaginal opening


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Understanding And Repairing Rectocele

Definition

The thin wall of tissue that separates the vagina and the rectum is known as the rectovaginal fascia. When areas of the wall weaken, the rectum might create a protrusion in the vagina, which is known as a rectocele.

A rectocele can develop during vaginal childbirth, due to harm received from exertion of the pelvic muscles. Even if a rectocele occurs immediately following childbirth, symptoms might not show up for years afterward. Rectoceles usually develop in post–menopausal women who experienced multiple vaginal deliveries. Besides vaginal childbirth, any rigorous and repetitive action that puts extreme pressure on the pelvic floor, such as frequent constipation or cough, and heavy lifting, can contribute to the development of a rectocele.

It is difficult diagnose a minor rectocele, because it does not cause many symptoms. Statistical data differs greatly, with a range of 20 to 80 percent of women affected. A recent U.S. study profiled 125 people diagnosed, the average patient was 60 years of age, had multiple vaginal deliveries, and was menopausal.

Patients also tend to have conditions affecting the bladder and uterus, such as a cystocele or a uterine prolapse. A cystocele is when the bladder protrudes because of weakening of the frontal vaginal wall. A uterine prolapse is when the uterus sags to the vagina, which occurs because of insufficient support of the pelvis.

Symptoms

A minor rectocele, especially one that protrudes one inch or less, typically does not cause problems. However, there are many complications within the rectum and vagina that can arise from a larger rectocele. For example, tissue can protrude through the opening of the vagina. Constipation, bowel movement difficultly, an incomplete sensation following a bowel movement, or difficulty controlling gas or stool passage is common. Discomfort and even pain can occur during sex. Rectal pain, extreme rectal pressure, and lower back pain are also problems that can arise. The pain in the lower back might increase throughout the day, but is relieved upon lying down.

In nearly 25 of rectocele patients, digitations (also known as manual evacuation) are necessary to remove stool from the rectum. To do this, the patient must help remove the stool from the body by pressing on the rectocele during defecation.

Diagnosis

Vaginal lacerations and how many vaginal deliveries a patient has had help diagnose a rectocele. In addition to vaginal and rectal symptoms, urinary difficulties are also reviewed. A rectal and gynecological examination is performed by the doctor to reach a diagnosis. During these exams, the patient might have to push to simulate defecating. This strain will enlarge the rectocele so that the location and size can be identified. Rectal imaging tests can also be conducted for location and size identification.

Duration

Because a rectocele is a lasting condition, which will not heal by itself, even minor rectoceles can worsen and grow larger over time.

Prevention

In the 1980s, physicians believed that performing an episiotomy during childbirth prevented the future development of a rectocele. An episiotomy requires cuts to be made to the tissue dividing the rectum and the vagina in order to increase the vaginal opening during delivery. Today’s research shows that a rectocele can still develop in cases of healed episiotomies. Because of this information, episiotomies are performed with less frequency. In fact, many doctors avoid episiotomies if possible.

While some healthcare practitioners feel that exercises (known as Kegel exercises) help prevent or relieve rectocele symptoms, this has not been proven in clinical studies. These exercises tighten the muscles and tissues surrounding the vagina

Treatment

Surgery is possible to rebuild the weakened rectovaginal fascia. The surgery typically requires stitches within the rectovaginal fascia wall for reinforcement. A more complicated surgery would involve procedures such as the insertion of a patch to support and strengthen the wall. If a uterine prolapse or cystocele is also present, surgical procedures can address these conditions simultaneously.

A non-surgical treatment option is a pessary. The vaginal pessary, a small plastic or silicon medical device that can be shaped as either a plug, a circle, or a block, is inserted in the vagina for support of the vaginal walls. Some pessaries require routine removal and cleaning by the doctor, but others are designed so that the patient can remove it themselves and clean it every day.

Consulting a Doctor

You should consult a doctor immediately if a protrusion is discovered in the vaginal wall, if you are experiencing instense rectal pressure or pain, or if bleeding is present. Those who have frequent constipation, have difficulty passing a stool, or experience discomfort or pain during sex should also seek medical attention.

Prognosis

Most patients that undergo rectocele surgery report an improvement in their symptoms or a relief from them altogether. Surgery is very effective in almost all rectocele cases, with structural weaknesses being repaired in most cases.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Uncontrollable Urine And Urinary Incontinence

Urinary incontinence is defined as the inability to control urinary flow. Incontinence can be an occasional leakage as well as the complete inability to hold urine.

 

There are two main kinds of urinary incontinence:

 

  • Stress incontinence. This occurs during physical activity like exercise, coughing, sneezing, or laughter.
  • Urge incontinence. People with urge incontinence experience a strong, sudden need to urinate. This is followed very quickly by bladder contraction and involuntary urination, without enough time to act.

 

There are several alternative names, including:

  • Loss of bladder control.
  • Uncontrollable urination.
  • Urination – uncontrollable.
  • Incontinence – urinary.

 

Bowel incontinence is the inability to control the passage of stool. This is a separate topic.

 

Normal Urination

 

The ability to hold urine depends on several factors, including:

  • Normal anatomy.
  • Normal function in the urinary tract and nervous system.
  • Physical and psychological ability to recognize and respond to the urge to urinate.

 

There are two phases to the process of urination:

  • During the filling and storage phase, the kidneys send urine to the bladder. The bladder stretches to hold the increasing amounts of urine. Generally, you will begin to feel the urge to urinate when your bladder contains about 200 mL, or just under 1 cup, of urine. The average person can hold 350 to 550 mL, or over 2 cups, of urine. This ability depends on two muscles:
    • The sphincter is a circular muscle which controls the opening of the bladder. Urination requires the sphincter to function correctly.
    • The detrusor is a muscle that surrounds the bladder wall. It must be stable and expandable.
  • The emptying phase relies on these muscles. The detrusor muscle contracts, squeezing the bladder to force urine out. At the same time, your sphincter must relax, allowing urine to leave the bladder and pass from your body.

 

Common Causes

 

There are many possible causes for urinary incontinence. These causes can differ, depending on whether the incontinence is sudden and temporary or long-term.

 

Here are some common causes of sudden or temporary incontinence:

 

  • Bedrest – for example, following surgery.
  • Certain medications – diuretics, antidepressants, tranquilizers, cough and cold remedies, and anti-allergy medications (antihistamines).
  • Increased volume of urination – for example, due to poorly controlled diabetes.
  • Mental confusion.
  • Pregnancy.
  • Prostate infection or inflammation.
  • Stool impaction from severe constipation – this can put pressure on the bladder.
  • Urinary tract infection or inflammation.
  • Weight gain.

 

Common causes of long-term urinary incontinence include:

 

  • Alzheimer’s disease.
  • Bladder cancer.
  • Bladder spasms.
  • Depression.
  • Neurological conditions – including stroke or multiple sclerosis.
  • Nerve or muscle damage resulting from pelvic radiation.
  • Structural problems in the urinary tract.
  • Spinal injury.
  • Weakness of the sphincter – this can result from prostate surgery for men or vaginal surgery for women.
  • Enlarged prostate in men.
  • Pelvic prolapse in women – a falling or sliding of the bladder, urethra, or rectum into the vaginal space. This is often related to multiple pregnancy and childbirth.

 

Considerations:

 

Urinary incontinence is more common in women than men. Young (and sometimes teenage) girls may experience slight urine leakage when laughing.

 

Age is a major consideration. Urinary incontinence is most common in the elderly. Infants and children are not considered incontinent, but rather untrained. After toilet training, occasional accidents are not unusual up to the age of 6 years. Nighttime urination until this age is normal.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Urethrocele

The urethra is a tube that moves urine within the bladder to outside the body. When the muscles supporting the urethra weaken or stretch, the urethra can move from its place and press on the wall in the vagina. This prolapse of the pelvic organ is called a urethrocele. 

Pelvic surgery, childbirth, labor, or pregnancy can damage the muscles in the pelvis, causing a urethrocele. The natural aging process can also cause a weakening in the muscles. Although it is rare, there are instances of a congenital urethrocele. 

A urethrocele might cause incontinence (urine leakage), usually during activities such as coughing, laughing, and jumping. It can also lead to cystitis, an infection in bladder, because it might become difficult to empty the bladder. 

For most women that have a urethrocele, symptoms are not present and treatment is not necessary. For those who do have symptoms, Kegel exercises, which improve the strength of the muscles in the pelvic floor, might help. These exercises require a repetitive contraction and release of the muscles controlling urination. In some cases, surgery is necessary.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Urinary Loss – Figuring Out Why You Lose Urine

A person who has urine loss that cannot be controlled is likely to be concerned with what is causing this. People experiencing incontinence realize that there are some activities that can trigger this loss of urine. When an urgent need to urinate arises, some urine loss might occur before reaching a restroom. Some women cannot figure out the cause for their incontinence. With the help of a doctor, it is possible to deal with the problems that come with incontinence.

Bladder Function and Failure

The bladder, a muscle, is designed to store urine until the body is ready to use a restroom. This function should occur without resulting in a feeling of urgency or pain, such as cramping in the abdomen, and the urethra stays closed and does not leak. When you are able to use a restroom, the bladder is designed to empty itself completely. Incontinence arises because one of these functions is not working properly.

Types of Incontinence

Urge incontinence in women is caused by overuse of the bladder muscle. The urge to urinate is not always present, and the loss of urine might happen without notice, which is referred to as unconscious or spontaneous loss. The amount of urine that is leaked is important and is often linked with using the restroom at least once an hour. In some cases, frequent urination can also occur at night, which is called nocturia. Women who suffer from this might need to use the restroom as often as once an hour throughout the night.

It is important to note that when symptoms of incontinence appear only during the nighttime that this does not indicate a bladder problem. In these instances, it is often the case that there is either a sleep disturbance or a large amount of fluid remaining in the legs (pedal edema) at night. Treatment for incontinence occurring only at night should focus on the main cause and not on the bladder. 

Another form of uncontrollable urine loss is stress incontinence. The channel through which the urine passes can weaken because of childbirth, previous incontinence surgery, a hysterectomy, or decreased hormonal levels. Tightening the muscles in the pelvis can often help, but when it does not help, urine loss occurs. Symptoms for stress incontinence appear during strenuous activities, such as bending over, lifting an object, and standing up. They can also appear during an activity that puts pressure on the abdomen, such as laughing, coughing, or sneezing. Some women have a urethra that does not function well at all, to the point that any small movement causes loss of urine. These more severe cases are very similar to spontaneous incontinence. Figuring out which form of incontinence a woman has is not easy when based solely on the symptoms.

Varying Symptoms 

An additional complication to the already troubling urine loss symptoms is that most women with incontinence experience the symptoms for both kinds, urgency and stress. Sometimes the symptoms for one kind are stronger, but often, the symptoms are equal. There are only a few symptoms that the bladder can exhibit, which is the reason for this overlapping of symptoms. If urine exits when a person is not urinating, the bladder can become irritated, causing the bladder muscle to contract involuntarily.

Understanding Incontinence 

Is it possible to know which incontinence a person is experiencing? About half of the women that experience urine loss figure out what the main cause is for them by keeping a diary of their fluid intake, urination time, and incontinence and by answering questions about their daily activities and events. However, these tools cannot always pinpoint the cause of incontinence. 

Additional Tests 

A doctor can analyze your medical records, conduct a physical exam, and perform advanced tests to help pinpoint the type of urine loss the patient is experiencing. There are some facts about yourself that can tell the doctor the reasons for your symptoms. A pelvic exam, which attempts to trigger urine loss, can also be performed. During this exam, a patient is asked to do basic activities when their bladder is full, such as bending, walking, coughing, and pushing down. This can help recognize what activities cause leakage and can also identify other issues, such as a weakened bladder or vaginal prolapse. Protective pads, which are sometimes used during the pelvic exam, can indicate the volume of urine loss.

Urodynamics, another common test in incontinence identification, requires a full bladder to duplicate the urine loss regularly experienced. These exams and symptoms can help in utilizing the best forms of treatment.

Treatment 

Keep a record of your symptoms to understand what causes your urine loss and what improves or worsens the incontinence. Blood in your urine, pain located in pelvis when urinating, and similar problems that seem relative to the urine loss should be reported to your doctor.

You and your doctor can gain control of the urine loss, so that you can continue any activities that have changed due to this condition.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Enterocele

Women often find that
their pelvic floor is weakened through childbirth and the aging process. The
pelvic floor is a set of ligaments and muscles that keep the organs located in
the pelvic cavity in place; these organs include the small intestine, colon,
uterus, and bladder. When the pelvic floor is weakened, an organ may drop,
which is called a prolapse. An enterocele is one kind of prolapse. 

An enterocele happens
when the tissues and muscles supporting the small bowel weaken or stretch, which
causes the bowel to descend and bulge through the vaginal wall. This develops
into a hernia in the vagina. 

A moderate or mild
enterocele can be improved through special exercises, which can be relieved
through exercises that increase the strength of the muscles in the pelvic
floor. There are other treatments available that do not require surgery, but
surgery is an option in cases of a severe enterecole.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

The Colpexin Sphere

 

An innovative Intra-Vaginal Device offering pelvic organ support while strengthening pelvic floor muscles Its easy, its uplifting, its COLPEXIN SPHERE Intra-Vaginal Device

About Colpexin

The Colpexin Sphere is an intravaginal device designed to treat pelvic organ prolapse and enhance the performance of pelvic floor muscle exercises.

The COLPEXIN SPHERE Product image

Product Description

The Colpexin Sphere is a smooth, round sphere made of medical grade polycarbonate plastic with an attached braided nylon string for easy removal. It provides dual benefits for the management of pelvic organ prolapse and improvement of pelvic floor muscle weakness. The Colpexin Sphere is available only by prescription.

 

How the Colpexin Sphere works

It's simple and safe

The Colpexin Sphere is an intravaginal device that elevates and supports the pelvic organs that may be used with pelvic floor muscle exercises to treat pelvic organ prolapse (sometimes called "POP"). The Colpexin Sphere is inserted into the vagina using the provided applicator or by hand and should be used as part of a program that includes pelvic floor muscle exercises. The Colpexin Sphere is available by prescription only.

 

About Colpexin

Is it right for me?

the Colpexin Sphere If you are experiencing the symptoms of pelvic organ prolapse or pelvic muscle weakness such as:

  • Pelvic pressure
  • Lower back pain
  • Loss of urine or stool
  • Inability to urinate or move your bowels
  • A feeling of something falling out of your vagina
  • A bulge in your vagina

You may be a candidate for Colpexin. Only a health care professional can diagnose these conditions and decide if the Colpexin Sphere is right for you.

 

About Colpexin

Safety Information

Contraindications

You should not use the Colpexin Sphere if you have any of the following:

  • Vaginal infection, breaks in the vaginal skin, or abnormal vaginal/uterine bleeding
  • You have had recent vaginal surgery
  • Severe pelvic nerve damage with no perineal sensation
  • Pelvic inflammatory disease, endometriosis, pelvic mass, prolapse limited to a large rectocele, or retroversion of the uterus
  • Pregnancy
  • You have an intrauterine device (IUD)
  • During sexual intercourse
  • During menstruation

Warnings

Contact your health care professional immediately if you experience any changes in color, amount, odor, and consistency of vaginal discharge, and/or if you have bleeding, discomfort, burning with urination, increased urinary frequency, and/or vaginal itching.

Cautions

The Colpexin Sphere should not be worn continuously for longer than 24 hours without removing and properly cleaning the device. (See Instructions for Care in Patient Product Information). Remember to remove the device before having sexual intercourse.

What Every Woman Needs to Know about Toxic Shock Syndrome

An association has not been established between the use of the Colpexin Sphere and toxic shock syndrome (TSS). However, wearing the device for prolonged periods of time may promote the growth of certain bacteria in the vaginal tract, especially during menstruation. Under certain conditions, the overgrowth of these bacteria could lead to symptoms of toxic shock syndrome. Primary symptoms of TSS are sudden high fever (usually 102°F or more), vomiting, diarrhea, fainting or near fainting when standing up, dizziness, or a rash that looks like sunburn. There may also be other signs of TSS, such as aching of muscles and joints, redness of the eyes, sore throat, and general weakness. If you have a sudden high fever and one or more of the other symptoms, remove the Colpexin Sphere at once and consult your health care professional immediately.

 

About Pelvic Organ Prolapse

What is it?

To understand what Colpexin is prescribed for, you need to understand the pelvic floor. The pelvic floor is a group of muscles, ligaments, and connective tissues that form a bowl or hammock, to support the pelvic organs (bladder, rectum and uterus) and keep the organs in place. In women, the pelvic floor muscles form a sort of supportive sheet with an opening for the urethra, vagina and rectum. Like a trampoline or net the pelvic floor muscles are attached to the fixed framework of the pelvic bones.

Pelvis, Normal
Pelvic organs
The pelvic organs and pelvic floor muscles
click here to enlarge

In addition to supporting the pelvic organs, the pelvic floor muscles assist in stopping and starting the flow of urine or the passage of gas or stool (bowel movement) and aid in sexual intercourse or stimulation. When these muscles contract or pull together, women sense deep feeling or tension and firmness as the tailbone moves toward the pubic bone and the openings of the vagina and anus close. Here's an illustration that shows you a woman's lower abdomen, including the pelvic floor muscles and organs we're talking about. You can see how everything is connected.

What happens with pelvic organ prolapse?

Pelvic organ prolapse, sometimes called just prolapse or POP for short occurs when one or more of the pelvic organs (bladder, rectum and uterus) pushes against the weakened wall of the vagina. Pelvic organ prolapse occurs when the pelvic muscle support system is weakened. It's common among women of all ages and can occur at any time, especially following childbirth.

 

About Pelvic Organ Prolapse

What are the symptoms of pelvic organ prolapse?

In the early stages of pelvic organ prolapse, you may not notice any symptoms. Some women, especially those with more severe cases of pelvic organ prolapse, may experience:

  • Bulge in the vaginal area
  • Feeling like something is "falling out"
  • Pressure or lower back pain
  • Leaking urine or urinary incontinence
  • Difficulty in urinating
  • Discomfort during sexual intercourse
  • Difficulty having a bowel movement
  • Fecal incontinence

These symptoms can influence important aspects of a woman's life, from her ability to perform daily activities to her self-image and sense of control.

 

About Pelvic Organ Prolapse

What are the risk factors?

Many women suffer in silence and embarrassment, not realizing that these are common problems that can be effectively treated.

Some risk factors for prolapse include:

  • Pregnancy
  • Vaginal delivery
  • Hysterectomy
  • Obesity
  • Chronic cough
  • Chronic straining/ constipation
  • Repetitive heavy lifting
  • Pelvic fractures or trauma
  • Increasing age
  • Genetics

 

About Pelvic Organ Prolapse

Diagnosis

Pelvic organ prolapse may only be diagnosed by a health care professional skilled in performing pelvic exams. During a pelvic exam you may be asked to strain, contract or tighten the pelvic floor muscles.

Many women with prolapse don't go to their health care professional because they are embarrassed or afraid of what they might find. Before you seek help, it may be useful to make a list of symptoms or unusual things you've been feeling and questions you may have. Remember, prolapse is very common among women of all ages. Don't be embarrassed. Get help and feel better.

Are there different types of prolapse?

Yes, there are. Each of the following types of prolapse deals with a different pelvic organ that is affected by the weakening of pelvic floor muscles.


Cystocele

Cystocele Diagram
Cystocele
A cystocele refers to a protrusion of the bladder against the front wall of the vagina.
click here to enlarge

Cystocele (bladder prolapse, pronounced sis-to-seal) refers to a protrusion or jutting of the bladder against the vagina. Women with a cystocele may feel vaginal discomfort or pain, and may experience some leaking of urine (incontinence) or difficulty/ability to urinate. Some women with cystocele may not be able to completely empty their bladders and may need to push the bulge back into the vagina in order to urinate.


Rectocele

Rectocele Diagram
Rectocele
A rectocele is a bulge of the rectum pressing against the back wall of the vagina.
click here to enlarge

Rectocele (pronounced rek-toe-seal) refers to a bulge of the rectum against the back wall of the vagina. Women with a rectocele may feel vaginal pressure, constipation, or may have difficulty emptying their bowels. Some women with rectocele need to press down on the bulge in order to have a bowel movement.


Enterocele

Enterocele Diagram
Enterocele
An enterocele refers to a bulge (hernia) of the small intestine pressing against the back wall of the vagina near the cervix.
click here to enlarge

Enterocele (pronounced enter-o-seal) refers to a bulge of the small intestine against the backwall of the vagina. Women with an enterocele may feel pelvic pressure, lower backache that worsens throughout the day and is relieved by lying down. Some women with enteroceles may need to press down on the bulge in order to have a bowel movement.


Vaginal Vault Prolapse

Vaginal Vault Prolapse Diagram
Vaginal Vault Prolapse
A vaginal vault prolapse is a weakening at the top of the vagina that causes the vagina to start to fold onto itself moving towards the opening of the vagina.
click here to enlarge

Vaginal vault prolapse refers to a weakening at the top of the vagina that causes the vagina to start to fold onto itself, moving towards the opening of the vagina. Women with vaginal vault prolapse may feel pelvic or vaginal pressure, may have difficulty emptying their bladder or moving their bowels. They may also have pain or discomfort when standing for prolonged periods. This discomfort is relieved by lying down.


Uterine Prolapse

Uterine Prolapse Diagram
Uterine Prolapse
A uterine prolapse is the downward movement of the cervix or neck of the uterus into the vagina.
click here to enlarge

Uterine prolapse refers to a downward movement of the cervix or neck of the uterus into the vagina. It may occur when the pelvic muscles have weakened and the vaginal opening has widened. Women with uterine prolapse may feel discomfort or pressure in the pelvic or vaginal area and may have bloodstained vaginal discharge. Some women may also have lower back pain/discomfort that worsens during the day and is relieved by lying down.

 

About Pelvic Organ Prolapse

Treatment Options

Treatment of pelvic organ prolapse may be accomplished through surgery or by nonsurgical methods.

One nonsurgical way to treat pelvic organ prolapse is with the Colpexin Sphere. Colpexin is an intravaginal device designed to enhance the performance of pelvic floor muscle exercises. Only your health care professional can decide what treatment is best for you.

Prolapse can affect many areas of a women's life, from her ability to perform daily activities to her self-image and sense of control.

About Pelvic Floor Muscle Weakness

Signs and Symptoms

Many women with pelvic organ prolapse also have pelvic floor muscle weakness. Symptoms are often the same. Some women do not experience any symptoms, but others may experience one or more of the following:

  • Pressure or lower back pain
  • Leaking urine or urinary incontinence
  • Difficulty in urinating
  • Discomfort during sexual intercourse
  • Difficulty having a bowel movement
  • Inability to control their bowels

 

About Pelvic Floor Muscle Weakness

Stress Urinary Incontinence

Stress urinary incontinence (SUI) is an involuntary leaking of urine when coughing, sneezing, laughing, jumping, or lifting heavy objects. It can result from weakened pelvic floor muscles that support the bladder and urethra and commonly occurs with pelvic organ prolapse. Women are often embarrassed by these symptoms or are unaware that there are treatment options. With as many as 50 of women reporting occasional leaking of urine, evaluation for weakened pelvic floor muscles is an important component of any pelvic exam.

 

About Pelvic Floor Muscle Weakness

Pelvic Floor Muscle Exercises
and the Colpexin Sphere

Pelvic floor muscle exercises are an important part of your treatment regimen. The pelvic floor muscles (PFM) are a very important muscle group for women—they help support the pelvic organs (the bladder, uterus, and colon), assist in stopping and starting the flow of urine or the passage of gas or stool, and aid in sexual satisfaction. Attached to the pelvic bones, PFM are located at the bottom of your pelvis and form a funnel that spans the width and breadth of the pelvis. When contracted, a deep feeling of tension and firmness is sensed, the muscles move upward, and the openings of the vagina and anus close.

PFM Exercise Program with Colpexin
To begin, empty your bladder and lie on your back on a flat surface with your Colpexin Sphere in place. Keep your knees bent and apart and your head elevated and supported with several pillows. Remember, doing your exercises with the Colpexin Sphere in place will allow you to be sure you are using the right muscle group.

How to perform pelvic floor muscle exercises with Colpexin

  1. Contract or tighten the muscles around the vaginal opening and feel for a lifting of the Colpexin Sphere and closure of the vaginal opening. Locate the string on your Colpexin Sphere and gently pull on it so you can feel that the sphere is in the correct position, above the PFM. Now relax your muscles.
  2. Perform the PFM contraction (feel for lifting of the Colpexin Sphere and closure of the vaginal opening).
  3. Initially, you may only be able to hold each contraction for 3-5 seconds, relaxing for 3-5 seconds for up to 5 repetitions. As you get stronger, you can extend the time, holding the contraction for 5-8 seconds for 8 repetitions. Your goal is to reach 10-second contractions for 10 repetitions. Remember to always relax the PFM for an equal amount of time between contractions.
  4. Do these exercises two times a day.

A Few Helpful Hints…

The quality of the exercises is more important than the number you perform or the seconds you are able to hold each contraction. As with all exercise, you will build strength over time as you follow your treatment regimen.

Avoid straining, holding your breath, or using your buttock muscles while you exercise the PFM. Counting out loud can help prevent this from happening. If you still notice that you use your buttock muscles or hold your breath, you are probably contracting your muscles incorrectly. Review your exercise instructions and try again. If the problem continues, notify your health care provider for more instructions.

As your strength continues to improve, you may want to challenge your muscles further by gently tugging on the string while tightening your PFM. Be sure not to pull so hard as to cause the Colpexin Sphere to actually come out while exercising. If the sphere does come out when you add resistance, just reinsert it according to the directions and return to doing the exercises without adding resistance (pulling on the string).

Pelvic floor muscle exercises are a very important part of your treatment, so try to incorporate these exercises into your daily routine. For example, if you wear your sphere only during the day, try doing your exercises once in the morning after inserting the Colpexin Sphere and once in the evening before you remove your sphere. Make it a habit like brushing your teeth and you will be less likely to forget.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Facilities

Aguirre Specialty Care
The Center for Female Pelvic Medicine.

9800 Mt. Pyramid Court, Suite 300

Englewood, CO 80112
Phone: (888) 440-1479
FAX: 303.322.0772

CRI.JPG



View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Laser Vaginal Rejuvenation

Vaginal Rejuvenation® for the Enhancement of Sexual Gratification

Laser Vaginal Rejuvenation® (LVR®) is a one-hour outpatient surgical procedure designed to enhance sexual gratification. According to Master and Johnson, sexual gratification is directly related to the amount of frictional forces generated. We can accomplish this with LVR®. LVR® is the modification of a gynecological surgical procedure used for the treatment of stress urinary incontinence and pelvic prolapse. Our techniques result in gentle precision procedures with controlled accuracy that results in relatively bloodless surgery. Our pioneered techniques result in rapid healing and resumption of daily activities in a short period of time.

Vaginal Rejuvenation® (LVR®) will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body (see figure below). 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 overall optimum architectural integrity of the vagina.

LVR is not considered a medical necessity, thus insurance companies will not pay for a sexual enhancement surgery. However, it has been our experience that the majority of patients who complain of vaginal looseness and desire vaginal tightening, actually have medical indications for the surgery. This indication is known as symptomatic prolapse which may present as uterine prolapse, vaginal vault prolapse, enteroceles, rectoceles, cystoceles, and urethroceles. Women with symptomatic vaginal relaxation or prolapse also tend to have less friction with intercourse. Surgically repairing the prolapse usually enhances the friction at the time of intercourse. You can learn more about prolapse and other urogynecologic conditions at Aguirre Specialty Cares other website, www.bladdersolution.com.

If on examination Dr. Aguirre determines that your condition is a medical necessity, then often your insurance company will bear some of the cost of the surgery. Our staff will request pre-authorization for medically indicated procedures so as to reduce your total out-of-pocket expense when undergoing LVR. An examination is required in order to determine whether your condition is cosmetic or medically indicated.

Untitled-3.jpg

Our mission is to empower women with knowledge, choice, and alternatives. We encourage patients to participate in their healthcare and surgical design. In a patient survey, performed by Dr. Matlock, women were asked; do women want to be loose or relaxed or do women want to be tight? Women answered 100 – women want to be tight. LVR® can accomplish what ever you desire.

We have learned a tremendous amount from listening to women who have presented to our urogynecologic practice over the past 10 years. Women come to us because they want knowledge, choice, and alternatives. Women want their surgeon to listen to them and provide viable solutions. Women throughout this nation and the world have told us that Kegel exercises do not work-but no one is listening. Women who have had children want a solution to rejuvenate the vagina and achieve the best sexual experience possible. For women with no children, solutions are available through design modification to accomplish their desires.

No one wants to age or lose optimal function anywhere, and this includes the vaginal and vulvar structures: LVR® has the solution. We have found that the vaginal and vulvar issues women are self-conscious about can be solved with LVR®.

Patients with involuntary loss of urine with coughing, sneezing, laughing, exercising, or sex can have their stress urinary incontinence corrected along with enhancement of sexual gratification. This is usually done with a concomitant surgical procedure such as the TVT-Secur suburethral sling. Please see Dr. Aguirres other website: www.bladdersolution.com.


Figure 1

The Vaginal Rejuvenation Institute® has been featured in numerous national and international media.

U.S. and International Print

U.S. and Foreign Television

Cosmopolitan

NBC – Ch. 4 Extra

Harpers Bazaar

NBC – Texas

Mademoiselle

CBS – Ch. 2 Special Assignment

Marie Claire

FOX – Miami – Florida

USA Today

FOX – Colorado

The Los Angeles Times

FOX – New York

Details Magazine

HBO – Documentary

The Boston Globe

UPN – Ch. 13 News

Los Angeles Magazine

KMEX – Ch. 34 “Ocurrio Asi”

Womens More Magazine

Telemundo – Ch. 52

For Him Magazine

WSVN – Ch. 7 Florida

Fairfield County Weekly

RTL 1 – Natl German TV

Self Magazine

RTL 2 – Natl German TV

Nerve Magazine

PEEP – Natl German TV

Vogue (German)

Natl Australian TV – Ch. 9

Elle (France)

Telemundo – International TV

Svenska Dagbladet (Sweden)

“Doctors” Nat’l Italian TV

NYT Henk.Koht (Finland)

U.S. Radio

Taet Pa (Denmark)

97.1 Talk Radio

Canadian Post

KFI News Radio

Marie Claire (UK)

Dr. Kurionsky, NY

Maclears Magazine (Canada)

Internet

 

WebMD

 

EYADA.com

 

Shenetworks.com

 

Brainpop.com

 

Salon.com

 

Endemol (UK)

 

E! Entertainment – Dr. 90210

 

As a sexual biological organism, women are superior to men.

Women are multiorgasmic. The female sexual response cycle is unimpeded by a required refractory period that prevents successive orgasms in the male.

Principal understanding of the physiology of the human sexual response emanates from observational research studies by William H. Masters, M.D. and Virginia E. Johnson. The researchers tested 382 women and 312 men in more than 10,000 episodes of sexual activity. They also studied more than 7,500 cycles (one cycle is an individual episode of sexual activity) of female sexual response during intercourse, masturbation or oral sex. They were the first researchers to put forth a four stage model that described and explained these natural physiologic changes. The four stages are excitation, plateau, orgasm, and resolution.

We developed the LVR® program by listening and caring about the needs of women in this area of sexual gratification. We also integrated the historical research of Masters and Johnson into the ultimate individual design of each of the surgical procedures. Women of the world inspired all of the surgical designs. For this, we as well as present and future patients thank the “true pioneers” and inspirational forces that made Vaginal Rejuvenation® a reality…WOMEN.

Variations in the Female Sexual Reponse Cycle
Vaginal Rejuvenation® is a one hour or less outpatient surgical procedure. The procedure is designed to enhance the feelings of sexual gratification. This is accomplished through a reconstruction process of vital areas of vaginal relaxation that are essential to sexual gratification, namely the outer third of the vagina, the orgasmic platform, internal and external vaginal diameter, introitus, and perineal body. (See figure 1)

Vaginal Rejuvenation® for the enhancement of sexual gratification is the modification of a standard existing gynecologic vaginal surgery used throughout the world for the treatment of vaginal relaxation and its associated symptoms, primarily that of stress urinary incontinence (involuntary loss of urine with stress such as exercise, etc.)

Vaginal relaxation is the loss of the optimum structural architecture of the vagina. In the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, strength, control and support. The internal and external vaginal diameters can greatly increase. The muscles of the perineum (the group of supporting muscles right outside the vaginal opening at the bottom) thin and separate in the midline producing a weakened, poorly supportive, thinned out perineal body.

Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state. In short, the sensual side of female sexual gratification is diminished. Thus, vaginal relaxation has a detrimental effect on sexual gratification because of the reduction of sexual feelings or pleasure.

 


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Laser Vaginal Rejuvenation Video Fox

Laser Vaginal Rejuvenation® (LVR®) is a one-hour outpatient surgical procedure designed to enhance sexual gratification. Sexual gratification is directly related to the amount of frictional forces generated. We can accomplish this with LVR®. LVR® is the modification of a gynecological surgical procedure used for the treatment of stress urinary incontinence. Our laser techniques result in gentle precision procedures with controlled accuracy that results in relatively bloodless surgery. Our pioneered techniques result in rapid healing and resumption of daily activities in a short period of time.

Aguirre Specialty Care Dr. Oscar A. Aguirre, founder and director of Aguirre Specialty Care, is a fellowship-trained urogynecologist who leads a highly-qualified staff in providing expert, state-of-the-art urogynecological care. Learn More…

Aguirre Specialty Care
As Seen on Fox News

Common Procedures

  • Laser Reduction Labiaplasty – With this labia reduction technique, we can sculpture the elongated or unequal labial minora (small inner lips) according to one’s specifications. Most women tell us that they do not want the small inner lips to project beyond the large outer lips. This type of labioplasty can also be used to treat conditions related to aging, childbirth trauma, or injury.
  • Laser Reduction Labiaplasty with Reduction of Excess Prepuce – In this type of labia reduction surgery, the excess skin along the sides of the clitoris is also reduced. This allows the skin to d neatly over the clitoris, providing the desired aesthetic enhancement. Most women having laser reduction labioplasty also need this reduction of excess prepuce for a unified aesthetic result.
  • Laser Perineoplasty – This process is intended to rejuvenate the relaxed or aging perineum. It can also enhance the sagging labia majora (large outer lips) and labia minora. Overall, the procedure can provide a youthful and aesthetically appealing vulva.
  • Augmentation Labioplasty – This type of labia surgery can provide aesthetically enhanced and youthful labia majora via autologous fat transplant (removal of the patient’s fat via liposculpturing and transplanting it into the labia majora).
  • Vulvar Lipoplasty – This form of vaginal cosmetic surgery can remove unwanted fat from the mons pubis and upper parts of the labia majora. Liposculpturing can alleviate the unsightly fatty bulges of this area and produce an aesthetically pleasing contour.
  • Hymenoplasty – In this procedure we can reconstruct the hymen, as if nothing ever occurred. LVR Institute of Michigan is sensitive to the needs of women from all cultures who request this procedure for cultural, social or religious reasons.
  • Combination of DLV with LVR – LVR and DLV vagina surgery can be performed together for ultimate rejuvenation and aesthetic enhancement. They can also be performed with most standard cosmetic surgical procedures, including liposculpturing, breast implants, breast reduction, tummy tuck, nose surgery, and eyelid surgery.

Laser Vaginal Rejuvenation® (LVR®) will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters, as well as build up and strengthen the perineal body (see figure below). 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.

For questions & appointments, please contact: (888) 440-1479
Oscar A. Aguirre, MD
LVR Denver
Oscar A. Aguirre, MD
Laser Vaginal Rejuvenation Institute of Denver
Oscar A. Aguirre, MD, FACOG

Serving Denver, Fort Collins, Colorado Springs and Boulder
9800 Mt. Pyramid Ct, Suite 300
Englewood, CO 80112

(888) 440-1479

email doctor
EMAIL DOCTOR
schedule an appointment
SCHEDULE AN APPOINTMENT
 
Arrow Email Doctor Arrow Schedule an Appointment

Facility Information
Hours of Operation: Open Daily 7:30 – 6:00
Arrow View Map


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Laser Vaginal Rejuvenation Lvr For Increased Sexual Gratification

LVR is the modification of a gynecological surgical procedure used for the treatment of stress urinary incontinence. Using laser technlogy, our techniques result in gentle precision procedures with controlled accuracy resulting in relatively bloodless surgery. For most patients, these techniques result in rapid healing and resumption of daily activities in a short amount of time.

Aguirre Specialty Care Dr. Oscar A. Aguirre, founder and director of Aguirre Specialty Care, is a fellowship-trained urogynecologist, who leads a highly-qualified staff in providing expert, state-of-the-art urogynecological care. Learn More…

Laser Vaginal Rejuvenation (LVRTM) will enhance vaginal muscle tone, strength, and control. And, it will tighten the vagina, as well as, build up and strengthen the perineal body. In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. 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 decreased. LVR procedures are designed to enhance sexual gratification for women who would like increased sexual gratification.

Aguirre Specialty Care

PROBLEM: Vaginal Relaxation (VR) As a woman's body experiences child birth and natural aging processes, the muscles and ligaments surrounding her vagina can become damaged or weakened, resulting in a condition known as vaginal relaxation. Symptoms of vaginal relaxation may include stress urinary incontinence (SUI), loss of vaginal muscle tone, and decreased sexual gratification for both the woman and her partner.

SOLUTION: Laser Vaginal Rejuvenation® (LVR®) LVR can reverse the effects of aging and childbirth. It will enhance the vaginal muscle tone, strength, and control. It will decrease the internal and external vaginal diameters, as well as, build up and strengthen the perineal body (the area between the vagina and anus). Sexual gratification for the female is directly related to the amount of frictional forces generated. We can accomplish this with LVR®.

As a sexual biological organism, women are superior to men.

lvr-breif-overview.jpg Women are multiorgasmic. The female sexual response cycle is unimpeded by a required refractory period that prevents successive orgasms in the male.

Principal understanding of the physiology of the human sexual response emanates from observational research studies by William H. Masters, M.D. and Virginia E. Johnson. The researchers tested 382 women and 312 men in more than 10,000 episodes of sexual activity. They also studied more than 7,500 cycles (one cycle is an individual episode of sexual activity) of female sexual response during intercourse, masturbation, or oral sex. They were the first researchers to put forth a four stage model that described and explained these natural physiologic changes. The four stages are excitation, plateau, orgasm, and resolution.

We developed the LVR® program by listening and caring about the needs of women in this area of sexual gratification. We also integrated the historical research of Masters and Johnson into the ultimate individual design of each of the laser surgical procedures. Women of the world inspired all of the surgical designs. For this, we, as well as, present and future patients thank the “true pioneers” and inspirational forces that made Laser Vaginal Rejuvenation® a reality…WOMEN.

Laser Vaginal Rejuvenation® for the enhancement of sexual gratification is the modification of a standard existing gynecologic vaginal surgery used throughout the world for the treatment of vaginal relaxation and its associated symptoms, primarily that of stress urinary incontinence (involuntary loss of urine with stress such as exercise, etc).

Vaginal relaxation is the loss of the optimum structural architect of the vagina. In the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, strength, control, and support. The internal and external vaginal diameters can greatly increase. The muscles of the perineum (the group of supporting muscles right outside the vaginal opening at the bottom) thin and separate in the midline producing a weakened, poorly supportive, thinned out perennial body.

Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state. In short, the sensual side of female sexual gratification is diminished. Thus, vaginal relaxation has a detrimental effect on sexual gratification, because of the reduction of sexual feelings or pleasure.

Recent News Articles 

The G-Shot — Is it the latest panacea to improve your love life?
The G SHOT for G Spot Amplification or GSA, is a simple, nonsurgical, physician-administered treatment that can temporarily augment the Grafenburg spot (G Spot) in sexually active women with normal sexual function. Learn More

Cosmetic Surgery's New Frontier
Christopher A. Warner says he considers himself something of a maverick, a caring physician willing to challenge medical orthodoxy in order to help women. Learn More

Virgin Territory: U.S. Women Seek A Second First Time
For her 17th wedding anniversary, Jeanette Yarborough wanted to do something special for her husband. In addition to planning a hotel getaway for the weekend, Ms. Yarborough paid a surgeon $5,000. Learn More


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Labiaplasty Colorado And Dr Oscar Aguirre

Dr.
Aguirre is one of a handful of fellowship-trained urogynecologists in the
world, who performs Labiaplasty and Laser Vaginal Rejuvenation and Designer
Laser Vaginoplasty in Colorado.

He is
the Director of Aguirre Specialty Care, The Center for Female Pelvic Medicine.
He is a Fellow of the American
College of Obstetricians
and Gynecologists and board certified by the American Board of Obstetrics and
Gynecology. He completed a two-year fellowship with internationally recognized
Dr. G. Willy Davila, of the Cleveland Clinic Florida, in Urogynecology and Reconstructive
Pelvic Surgery. He is also Founder and Medical Director of Milestone Medical
Research, Inc., and Laser Vaginal Rejuvenation Institute of Denver.

In 1999
Dr. Aguirre became medical director of the first urogynecologic practice in the
Rocky Mountain Region (originally established in 1992). Since then, with the
help of his highly skilled staff, he has continued to provide the best
urogynecologic care available, treating patients from over 10 states and 5
countries. In November of 2006 he relocated his practice to a new
state-of-the-art facility and changed it's name to better reflect the care he
provides and the patients he serves. As a preeminent pelvic surgeon, providing
urogynecologic care for 10 years, he is ideally suited to address both women's
functional and aesthetic concerns. Thus, he has recently founded The Laser
Vaginal Rejuvenation Institute of Denver providing Cosmetic Gynecologic
Surgery.

Cosmetic
Gynecologic Surgery can be divided into both sexual enhancement surgery known
as Laser Vaginal Rejuvenation (LVR) and cosmetic enhancing surgery known as
Designer Laser Vaginoplasty (DLV). These surgeries are considered elective
procedures performed at the patient's request, since they are not performed for
life threatening conditions. They are therefore considered plastic or cosmetic.

Dr.
Aguirre's research interests have included all urogynecologic and women's
health issues, including female sexual dysfunction. He has published research
on a testosterone patch for low libido and currently, through his
multispecialty research center, Milestone Medical Research, Inc., he is
investigating a new investigational oral medication for the treatment of Hypoactive
Sexual Desire Disorder (HSDD). As a recognized expert in the field of female
sexual medicine he is ideally suited to address the complex issues that revolve
around women's sexual health. Making the decision to have LVR or DLV is a
serious one. One that needs a full understanding, by both you and your surgeon,
of the circumstances regarding these very personal issues. There are many
things to consider — what exactly your goals are, when to schedule your
surgery, what risks and complications are involved, and perhaps the most
important and crucial one – which pelvic surgeon to trust your body to.

Procedures Offered

 

LASER VAGINAL REJUVENATION®

Laser Vaginal Rejuvenation® for the enhancement of sexual
gratification.
Laser Posterior Colporrhaphy and Perineopharry

Laser Vaginoplasty


DESIGNER LASER VAGINOPLASTY®

Laser Reduction Labiaplasty of the labia minora.
Aesthetic Reconstruction and Enhancement of the Vulvar structures damaged by
childbirth, trauma, aging, and certain deformities.
Laser Perineoplasty for the aesthetic rejuvenation of aging (sagging) vulvar
structures and introitus.
Laser Hymenoplasty for restoration of the hymen.
Aesthetic Augmentation Labiaplasty of the underdeveloped, or aging labia majora
via autologous fat transplantation.
Liposculpturing for the aesthetic reduction of the prominent or protruding mons
pubis and labia majora.


COMBINATION OF LASER VAGINAL REJUVENATION®AND
DESIGNER LASER VAGINOPLASTY®

Laser Vaginal Rejuvenation® can be performed in combination with
any of the Designer Laser Vaginoplasty® procedures.
Procedures in the Designer Laser Vaginoplasty® category can be combined in
various combinations.

Most common combination is Vaginoplasty at the time of Labiaplasty


COMBINATION OF LASER VAGINAL REJUVENATION®
AND/OR DESIGNER LASER
VAGINOPLASTY®

WITH OTHER COSMETIC SURGICAL
PROCEDURES

Laser Vaginal Rejuvenation® and/or Designer Laser Vaginoplasty® (vaginoplasty
and labiaplasty) can be combined with most cosmetic surgical procedures.

DR.
AGUIRRE'S GOAL
is not only to provide quality care for his patients, but he is
equally passionate in giving back to the community through organizations
affecting abused and battered women and children. A portion of profits from
LVRI of Denver are donated to these causes.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse

Labiaplasty Denver And Dr Oscar Aguirre

Dr.
Aguirre is one of a handful of fellowship-trained urogynecologists in the world
who perform Laser Reduction Labiaplasty and Laser Vaginal Rejuvenation.  He is the Director of Aguirre Specialty Care,
The Center for Female Pelvic Medicine.

He is a
Fellow of the American College of Obstetricians and Gynecologists and board
certified by the American Board of Obstetrics and Gynecology. He completed a
two-year fellowship with internationally recognized Dr. G. Willy Davila, of the
Cleveland Clinic Florida,
in Urogynecology and Reconstructive Pelvic Surgery. He is also Founder and
Medical Director of Milestone Medical Research, Inc., and The Laser Vaginal
Rejuvenation Institute of Denver.

In 1999
Dr. Aguirre became medical director of the first urogynecologic practice in the
Rocky Mountain Region (originally established in 1992). Since then, with the
help of his highly skilled staff, he has continued to provide the best
urogynecologic care available, treating patients from over 10 states and 5
countries. In November of 2006 he relocated his practice to a new
state-of-the-art facility and changed it's name to better reflect the care he
provides and the patients he serves. As a pre-eminent pelvic surgeon, providing
urogynecologic care for 10 years, he is ideally suited to address both women's
functional and aesthetic concerns. Thus, he has recently founded The Laser
Vaginal Rejuvenation Institute of Denver providing Cosmetic Gynecologic
Surgery.

Cosmetic
Gynecologic Surgery can be divided into both sexual enhancement surgery known
as Laser Vaginal Rejuvenation (LVR) and cosmetic enhancing surgery known as
Designer Laser Vaginoplasty (DLV). These surgeries are considered elective
procedures performed at the patient's request, since they are not performed for
life threatening conditions. They are therefore considered plastic or cosmetic.

Dr.
Aguirre's research interests have included all urogynecologic and women's
health issues, including female sexual dysfunction. He has published research
on a testosterone patch for low libido and currently, through his
multispecialty research center, Milestone Medical Research, Inc., he is
investigating a new investigational oral medication for the treatment of
Hypoactive Sexual Desire Disorder (HSDD). As a recognized expert in the field
of female sexual medicine he is ideally suited to address the complex issues
that revolve around women's sexual health. Making the decision to have LVR or
DLV is a serious one. One that needs a full understanding, by both you and your
surgeon, of the circumstances regarding these very personal issues. There are
many things to consider –what exactly your goals are, when to schedule your
surgery, what risks and complications are involved, and perhaps the most important
and crucial one –which pelvic surgeon to trust your body to.

Procedures Offered

Labiaplasty and Laser Vaginal
Rejuvenation®

Labiaplasty and Laser Vaginal Rejuvenation® for the enhancement of
sexual gratification.
Labiaplasty and Laser Vaginal Rejuvenation® for the correction of stress
urinary incontinence.


DESIGNER LASER VAGINOPLASTY®

Laser Reduction Labiaplasty of the labia minora.
Aesthetic Reconstruction and Enhancement of the Vulvar structures damaged by
childbirth, trauma, aging, and certain deformities.
Laser Perineoplasty for the aesthetic rejuvenation of aging (sagging) vulvar
structures and introitus.
Laser Hymenoplasty for restoration of the hymen.
Aesthetic Augmentation Labiaplasty of the underdeveloped, or aging labia majora
via autologous fat transplantation.
Liposculpturing for the aesthetic reduction of the prominent or protruding mons
pubis and labia majora.


COMBINATION OF Labiaplasty and Laser
Vaginal Rejuvenation®

AND DESIGNER LASER
VAGINOPLASTY®

Labiaplasty and Laser Vaginal Rejuvenation® can be performed in
combination with any of the Designer Laser Vaginoplasty® procedures.
Procedures in the Designer Laser Vaginoplasty® category can be combined in
various combinations.


COMBINATION OF LASER VAGINAL REJUVENATION®
AND/OR DESIGNER LASER
VAGINOPLASTY®

WITH OTHER COSMETIC SURGICAL
PROCEDURES

Labiaplasty and Laser Vaginal Rejuvenation® and/or Designer Laser
Vaginoplasty® can be combined with most cosmetic surgical procedures.

DR.
AGUIRRE'S GOAL
is not only to provide quality care for his patients, but he is
equally passionate in giving back to the community through organizations
affecting abused and battered women and children. A portion of profits from
LVRI of Denver are donated to these causes.


View this Article Now


Call (888) 440-1479 to Speak with Dr. Aguirre
Cosmetic Surgery in Denver
Images Of Vaginal Prolapse