Vaginoplaty

CANDIDATES:
Women who find that their vaginal muscles may be looser, stretched and weaker after natural childbirth, or due to an episiotomy (an incision made in the perineum to enlarge the space during child birth.). Women who intend to have subsequent children through vaginal delivery should be aware of the possibility of a second procedure after the baby is born. This is a surgical procedure to improve the tone of the vagina by tightening vaginal muscles and the supporting tissue. The surgery is designed to enhance vaginal tone, muscle strength and increase voluntary control. Vaginoplasty is often referred to as Vaginal Rejuvenation. Vaginoplasty can also be combined with other plastic surgery techniques, such as abdominoplasty or breast surgery, or even other gynecological procedures

OBJECTIVE:
After childbirth, a woman's vaginal muscles may loosen & become weaker due to vaginal stretching that occurs during delivery. This procedure corrects the loose tissues and tightens the muscles of the perineum.

INCISIONS AND TECHNIQUE
Vaginoplasty surgery is done as an in-patient procedure. The hospital stay is usually 24 hours. The surgeon joins the stretched muscles at the back of the vagina and removes the unwanted tissue. This reduces excess vaginal lining and tightens vaginal muscles. The scarring is inside the vagina. This procedure can be done together with labiaplasty. Vaginal tightening may also be performed using a laser.

OPERATING TIME
Approximately 1 hour.

ANESTHESIA
This procedure can be performed under general anesthesia.

IN/OUT PATIENT:
A minimum 24-hour stay is advised.

RECOVERY PERIOD:
The patient can usually return to work 6 to 7 days after surgery. Temporary pain is treated with analgesics. Swelling, tenderness, numbness of the vaginal wall may be experienced. Some stitches will be reabsorbed. Others will be removed in stages over a period of one or two weeks. Patients should avoid intercourse for between four and six weeks.

POSSIBLE COMPLICATIONS:
Infection, bleeding and delayed healing. Although this rarely happens, scar tissue can develop in patients with a tendency to thick scarring, causing tenderness, pain or tightness. This "scar hypertrophy" may require further surgery or other treatment to soften the scars. Overtightening can lead to urine retention.

RISKS:
Blood clots, infection, bleeding, delayed healing or poor healing, the need for a second procedure.

RECOVERY TIME:
Back to work: about one week. The area may be tender and swollen after surgery, but walking and sitting should be no problem. Sexual intercourse, strenuous exercising, riding and bicycling are recommended only after 4 to 6 weeks or more. There can be some discharge (reddish-yellow) for 4-6 weeks.

DURATION OF THE RESULTS
The vagina should remain firm and tight for many years. This might change if the patient undergoes vaginal childbirth after the procedure.