Ask the Doctor: Q & A with Dr. Aguirre

Posted: February 16, 2011

Question: I am a 45 year old mother of 3 bothered by bladder leakage while laughing, coughing and exercising ever since my hysterectomy 2 years ago. Did the surgery cause this and what can I do about it?

Answer: Your symptoms of stress urinary incontinence are very common in women following vaginal deliveries but not a direct cause of a hysterectomy. A urogynecologic evaluation before your hysterectomy may have identified this condition and warranted the placement of a TVT sling to prevent these symptoms from occurring.

Question: I’m a 48 year old physician who has been bothered by the appearance of my vagina since the delivery of my children 20 years ago. I am divorced and have avoided intimacy now for over 8 years because of how long and dark my labia are. What are my surgical options and can this be performed in the office?

Answer: There are only a handful of fellowship-trained urogynecologists in the world who perform vaginal rejuvenation and labiaplasty procedures. I perform these in the privacy of my office under local anesthesia. You would have only a few days of down time. Read testimonials from women who have been through the process and learn more at

Question: Despite a healthy diet and regular exercise program, I have a tummy pooch that I can’t get rid of. I am interested in liposuction, but don’t want to go through a major surgery. What are my options?

Answer: Liposuction can now be done as an easy in-office procedure. SmartLipo™ MPX and VASER® LipoSelection are both minimally invasive, easy procedures that can be done in the comfort and privacy of our office. See before and after photos at
— Dr. Oscar A. Aguirre