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A Leading London Gynaecologist has reported seeing a significant rise over the last 6 years in the numbers of women over a wide range of ages seeking corrective surgery to improve the function of their vagina and also the appearance of their perineum.

Mr. Nicholas H Morris MBBS FRCOG, a Consultant at several Leading private Hospitals in London in London, and the Clinical Director of the team at confirms that the significant rise in demand for vaginal and perineal surgery that he has witnessed over the last 6 years is not just for women with urinary incontinence but also for women who have had significant trauma following childbirth.

“The symptoms are very common, and women often are ashamed to discuss the symptoms of pain, and urinary frequency and constipation with their doctors” says Mr. Morris. “They are also worried to discuss the loss of confidence in sexual function”.

“Sometimes these patients will not respond to physiotherapy, and surgery is necessary. It is very common for the perineal body which is at the base of the vagina to become detached from the deep perineal muscles. Surgery is usually day case, and improves the function of the vagina” says Mr. Morris.

Mr. Morris is also concerned about the number of women who develop constipation after childbirth, and advises that all women should be encouraged to drink at least 2 litres a day.

If a woman develops a prolapse, which is a hernia in the vagina, it is normally the rectum which is affected. Mr Morris offers these patients a pelvic floor repair, which will improve the tone of the vagina and will be able to stop constipation. This is vital to protect the pelvic floor from the effects of worsening constipation.

Mr. Morris says “These days there is a much greater awareness among women of their genital anatomy, and the reasons women give for wanting a vaginal operation vary. It could be improve a woman’s self esteem, but this is not an indication for surgery. It may be because they are worried about the openness of their vagina, air trapping or not being able to hold a tampon, or constipation and a dragging pain”.
While Mr. Morris and the team at understand and are sympathetic to women’s reasons for vaginal operations the approach is very much a joint one.

“Of course it’s not simply a case of me operating because a woman says make my vagina tighter, I have lost my sex drive’. I actually collaborate closely with a psychiatrist and a psychosexual therapist. . I believe that a psychological and sensitive approach is essential, as is the need to rule out body dysmorphia, and self harm. It’s also about being honest about normality and helping some patients to deal with their thoughts and feelings about their bodies” says Mr. Morris.

For more information contact Mr. Nicholas H Morris on 0203 3180263 or visit

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