Vaginoplasty is a procedure that aims to "tighten up" a vagina that's become slack or loose from vaginal childbirth or aging.
After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to $eksual dysfunction.
A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance.
A labiaplasty is a surgical procedure done to reshape a woman's labia minora—the inner "lips" of the vulva.
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It is generally a vaginal correction for women. The most common intervention is the narrowing of the vaginal entrance or the entire vagina, which can partially tighten it. The treatment should enable or improve the sexual life of the patient.
This operation is usually carried out on middle-aged women who have already given birth and who lose their elasticity as a result of childbirth and with increasing age.
The treatment is carried out under general anesthesia and lasts 45-60 minutes. In the area of the vaginal entrance, on its back wall, the tissue is excised to various extents (according to the patient's wishes, anatomical findings, etc.). The wound is then sutured. It is cheaper to perform the excision to a larger extent and thereby narrow the vaginal entrance more, as it can usually stretch again slightly over the years.
The procedure not only affects the mucous membrane, but also affects the muscle layer of the vaginal wall. The vaginal mucosa is first cut out to the required (desired) extent, then the muscle layer of the vagina is attached and shortened and finally the vaginal mucosa is sutured. The same applies to the extent of the excision as to the correction of the vaginal entrance. During this operation, the surgeon must proceed very carefully and have experience, as the vagina is very close to the large intestine and the formation of a so-called "rectovaginal fistula" must be avoided.
Absorbable sutures are used during the operation.
Postoperative care is simple and the patient takes care of it herself. She has to ensure perfect hygiene, showering with soap or shower gel is recommended, at least twice a day using a disinfectant solution, which you get when you correct the labia. Initially, sterile gauze should be placed in the underwear, later panty liners are sufficient.
If the course is normal and the sutures are absorbable, it is not absolutely necessary to have a check-up after the operation, but it is advisable to go for a check-up after a week or two. A check-up after about 3 months is also recommended in order to assess the final result. Of the later complications, the formation of tight scars should be mentioned in patients who have a congenital tendency to develop keloids and hypertrophic scars. This risk is less than 1% and can be eliminated with special care for such scars.
With vaginoplasty, the vagina is tightened - mainly for cosmetic reasons. Muscles and various tissues in the vaginal area are sewn together to make the vaginal cavity smaller.
Vaginoplasty is a form of invasive surgery that makes the vagina appear youthful again.
A simple cosmetic vaginoplasty takes just an hour. However, more complex versions of the operation are required for more serious problems.
This procedure involves using a section of the S-bowel to create a new vaginal wall. This type of vaginoplasty can be performed laparoscopically (laparoscopy).
This procedure is also known as the "Luohu operation" and uses the peritoneum to create a new vaginal wall.
This laparoscopic procedure carries the risk of a fistula, but does not require a vaginal dilatation set after surgery.
The McIndoe technique uses a skin graft instead of the peritoneum. The graft is first placed on a mold and then inserted into the vagina.
However, because the skin does not release moisture, women who undergo this procedure must use a vaginal dilatation kit regularly for the rest of their lives.
The lining of the cheek is a natural tissue that is formed in the lining of the mouth. It is quite similar to the lining of the vagina, which makes it suitable for a very specific type of vaginoplasty.
However, this method is used relatively infrequently because the tissue available for use is limited.
Inverted penile skin
Vaginoplasty with inverted penile skin is used for sex reassignment operations.
The skin from the outside of the penis is removed and then turned inside to form the wall of the new vagina. The glans penis is used to form a clitoris and the skin of the scrotum to form the labia.
Labia surgery (labioplasty) is not a vaginoplasty, but it is worth mentioning in this context.
Some surgeons perform both procedures at the same time. The labia correction reduces and remodels the skin flaps on both sides of the vagina (labia minora / small labia).
What is ahead of me
The procedure is performed on an outpatient basis under local anesthesia. However, your surgeon may recommend general anesthesia. Then a nightly stay in a hospital or clinic may be necessary.
The success rate of vaginoplasty is very high. However, reconstructive interventions are not quite as successful in this context. Even so, there is a chance that you will get the results you want.
Pain and recovery period