Fixing the Wide Vagina

Most frequently, tears in the support structures and muscles of the perineum, the vaginal opening and in the entire length of the vagina is caused by childbirth. Some of the most common causes include stretching of the vaginal wall, perineum tear, diminished/absence of vaginal ridges and aging. It can make the vagina feel looser, causes urinary incontinence, lack of sensation in the vagina, and pain during sexual intercourse. These can bring about psychological issues, loss of self-esteem/self-confidence, and loss of sexual pleasure.

Dr. Vitasna has been taught by Prof. Adam Ostrzenski techniques in vaginal reconstruction procedures called:

  • Blue-edit-shutterstock_88561339_New1bullet_tick1) Site Specific Defects Reconstruction (SSDR)

  • bullet_tick2) Vaginal Rugae Rejuvenation (VRR)

Childbirth, hormones, as well as sex, can cause the smoothing of the vaginal wall and the stretching of the vaginal rugae. These circumstances may contribute to a diminished sexual pleasure and vaginal looseness.

  • bullet_tick1) Site Specific Defect Reconstruction (SSDR) are procedures that aim to repair or fix specific damage in the vaginal structure, whither from the perineum, the vaginal opening, the upper (anterior) or lower (posterior) part of the vagina or on both sides – which causes “The Wide Vagina. The procedure is done to reconstruct the vaginal muscles and the perineum muscles to improve and regain the function of the structures.
  • bullet_tick2) Vaginal Rugae Rejuvenation (VRR), the presence of rugae, is important in determining how much sensation a woman and her partner can feel during sexual intercourse. Vaginal Rugae Rejuvenation (VRR) can help tighten the vagina and restore the vaginal ridges/rugae. The ridges are responsible for increased friction during sexual intercourse. Thus, Vaginal Rugae Rejuvenation (VRR) results in restoration of sensation and sexual pleasure to both partners.

In conjunction with Site Specific Defect Reconstruction (SSDR), Vaginal Rugae Rejuvenation (VRR), is at times, done after Site Specific Defect Reconstruction (SSDR) procedures. Women need an adequately trained surgeon who can do excellent vaginal reconstruction techniques. Dr. Vitasna offers these minimally invasive procedures to help resolve the “wide vagina” for the enhancement of sexual pleasure for both partners. The overall result will be that women will be happier about themselves again.

Prof. Adam Ostrzenski, M.D., Ph.D., Dr. Hab; is an internationally known gynecologic surgeon, speaker, professor and researcher from Florida, USA. He has received national and international awards and accolades for his contribution in the advancement of women’s health and developing new cosmetic/ reconstructive surgeries for the female genitalia.

Excerpted from Dr. Ostrzenski’s Advanced Gynecology Workshop, January 26 -29, 2012, St. Petersburg, Florida, USA.


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 A pose after receiving our certificates from Prof. Adam Ostrzenski
at the Bay Medical Center, St. Peterburg, Florida, United States of America

G-Spot Existence: Indirect Documentation

Through the centuries, many attempts have been made to establish the anatomic existence, location, and size of the G spot. It became one of the most intellectually-stimulating topics on the female sexual expression field. There is indirect scientific data, which strongly support the physical presence of the G-spot. A very thoughtful scientific contribution to the challenging dilemma of the G-spot existence was the fact that the stimulation of the G-spot resulted in an approximately 50% swelling of the anterior distal vaginal wall and provided high levels of sexual arousal with a powerful orgasm.

  • bullet_tickThe G spot gene has been identified and has been already incorporated into the Affymetrix GeneChip (microarrays of probes to match specified genes). The vaginal electric activities (the electrovaginogram) documented that a pacemaker was positioned to exist at the upper vagina evoking electric waves, which could be recorded.
  • bullet_tickThis finding suggested that the vaginal pacemaker seemed to represent the G-spot, which women reported as a small area of erotic sensitivity in the vagina. The ultrasonographic study postulated that clitoral bodies have a descending movement and come close to the distal (upper) anterior vaginal wall. This happens during a voluntary contraction and relaxation of the pelvic floor muscles, and the anterior vaginal area demonstrates the particular sensitivity to stimulation corresponding to the G-spot location.
  • bullet_tickProfessor Ostrzenski concluded that the anterior vaginal wall, up to the pubocervical fascia, most likely would not contain the G-spot and hypothesized that the G-spot maybe located deeper. Since it has been documented that stimulation of the anterior vaginal causes the vaginal wall to swell, Dr. Ostrzenski determined that this structure must consist of erectile tissues, which causes the anterior vaginal wall to swell.
  • bullet_tickTherefore, to test this hypothesis, the objective was established to dissect the anterior vaginal wall layer-by-layer. This was done to potentially identify the existence of the anatomic G-spot by exploring the space between the inferior surface of the pubocervical fascia and superior surface of the dorsal perineal membrane.
  • bullet_tickRecently, Professor Ostrzenski’s anatomic study documented that the G-spot creates a 350 angle between the urethra with the lower pole being positioned 3 mm from the urethra, and the upper pole being situated 15 mm from the urethra with the length of 8.1 mm. The G-spot is located much more deeply than it was previously postulated. It is a well-defined and uniform structure within a sack and the G-spot appeared to be erectile tissue.
Excerpted from Prof. Adam Ostrzenski, Advanced Gynecology Workshop, January 26 – 29, 2012, St. Petersburg, Florida, USA. For Further Reading: G Spot Augmentation 


Prof. Ostrzenski doing the tradional Thailand greetings, Sawadee "the wai" .

 Prof. Ostrzenski doing the traditional Thailand greetings, Sawadee “the wai” .

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 A pose after receiving our certificates from Prof. Adam Ostrzenski, M.D., Ph.d., DrHab
 at the Bay Medical Center, St. Peterburg, Florida, United States of America.

Clitoral Hood Reduction/Clitoral Hoodoplasty

Professor Ostrzenski defines clitoral hoodoplasty, or better known as Clitoral Hood Reduction, as a surgical intervention which transforms the Clitoral Prepuce to more pleasing appearance with preservation of function. For more information on this procedure (including post-operative care information), please visit the Clitoral Hood Reduction page of this website.

The Clitoral Prepuce is the visible skin fold over the clitoris, which is known as the Clitoral Hood. There are two distinct types of Clitoral Hoodoplasty:
bullet_tick1) Reductive Clitoral Hoodoplasty
bullet_tick2) Restorative Clitoral Hoodoplasty

The Reductive Hoodoplasty is a surgical intervention aimed to decrease the excessive length of the Clitoral Prepuce tissue or to reduce the uneven thickness of the Clitoral Hood.

  • bullet_tickOstrzenski’s modification of hydrodissection with reverse V-plasty is used to reduce the excessive and overlapping Clitoral Hood.
  • bullet_tickThe hydrodissection with reverse V-plasty is used to split the adhesions between the inner surface of the Clitoral Prepuce and Clitoris.
  • bullet_tickThe extra Prepuce tissues removed during the reverse V-plasty hide the suture lines. This procedure can liberate the Clitoris so you can have a better sexual experience for you and your partner.

The Restorative Hoodoplasty procedure is performed to restore the damaged opening of the Clitoral Hood, which usually is due to skin conditions etc., and repair the lost Prepuce without causing permanent nerve injuries.

  • bullet_tickBy using sterile saline, the Hood can be separated from the Clitoral adhesions.
  • bullet_tickOpening the partially or completely closed Clitoral Hood is done to expose the tip of the Clitoral Hood.
  • bullet_tickThis technique prevents complications of Clitoral numbness. The direct use of metallic instruments on the Clitoris is associated with Clitoral numbness.

Professor Ostrzenski conducted the clinical study between 2006 and 2010, which assisted him to develop a new Clitoral Hoodoplasty classification and new surgical procedures. This classification is very useful for women and doctors to select the appropriate procedure.

Clitoral Hood characteristics were used to establish a new classification:
  • bullet_tick1) Occluded Clitoral Hood (the Clitoral Hood opening is partially or completely closed with the Clitoris buried under the skin)
  • bullet_tick2) Hypertrophic-Gaping Clitoral Hood (the Clitoris foreskin can be elongated, too thick, or both)
  • bullet_tick3) Asymmetrical Subdermal Hypertrophy (uneven thickness of the Clitoral Hood)

Each category of clitoral characteristics will require a different surgical intervention. Dr. Ostrzenski emphasized that a “one-fit-all” procedure could not be offered to all women who requested Clitoral Hoodoplasty.

Dr. Ostrzenski based upon this classification has developed the following surgical interventions for Clitoral Hoodoplasty:
  • bullet_tickHydrodissection was applicable for the occluded Clitoral Prepuce
  • bullet_tickModified Hydrodissection with Reverse V-plasty was applicable for Hypertrophic-Gaping Clitoral Hood.
  • bullet_tickClitoral Subepithelial Hoodoplasty was applicable for Asymmetrical Subdermal Hypertrophy (uneven thickness).
Excerpted from Dr. Ostrzenski’s Advanced Gynecology Workshop, January 26 -29, 2012, St. Petersburg, Florida, USA.


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A pose after receiving our certificates from Prof. Adam Ostrzenski
at the Bay Medical Center, St. Peterburg, Florida, United States of America