Vaginoplasty

The loyalty program applies to surgical interventions in the inpatient department, making treatment even more affordable.

Many women face a problem that they are embarrassed to talk about or consider insufficiently important. This is prolapse of the vaginal walls, stretching, and a change in its shape. The cause may be childbirth, age-related changes, injuries, operations, or diseases.

Sometimes discomfort occurs only during intimacy, which is also a valid reason to consult a doctor, but in some cases pain, urinary incontinence, pelvic organ prolapse, and other disorders appear. Such symptoms should not be ignored. Vaginoplasty makes it possible to eliminate both functional disorders and aesthetic imperfections, restore the normal anatomy of the vagina, and improve quality of life.

At Oxford Medical, experienced gynecologists and genital surgeons work using modern minimally traumatic techniques. If you are planning to have vaginal plastic surgery, book a consultation at a time convenient for you through the online appointment form on the website or by calling the contact center.

Vaginoplasty is plastic surgery on the vagina, which is performed to correct its shape, size, or anatomical features. The doctor selects the extent of the operation and the method of its performance individually after conducting an examination. Depending on the indications, the intervention may be aimed at eliminating functional disorders, tissue reconstruction, or aesthetic correction.

The main types of vaginoplasty are:

• Reconstructive plastic surgery of the vaginal walls (colporrhaphy). This is the most common type of vaginoplasty, which is used to correct the anterior, posterior, or both vaginal walls. Depending on the localization of the intervention, anterior, posterior, and median colporrhaphy are distinguished.

• Perineoplasty. The operation involves restoration of the muscles and tissues of the perineum and narrowing of the vaginal opening. Most often, it is performed after childbirth. According to indications, perineoplasty may be combined with colporrhaphy.

• Aesthetic vaginoplasty. It is performed to correct the shape or size of the vagina. If necessary, labioplasty may be performed at the same time if the labia majora or labia minora also require correction.

• Feminizing vaginoplasty. This is a reconstructive operation that is performed during male-to-female sex reassignment for the purpose of forming a vagina.

Doctors at Oxford Medical explain: the type of vaginoplasty is always selected individually. During the consultation, the doctor evaluates the anatomical features, listens to the patient's wishes, and determines what extent of surgery will be optimal.

Surgical vaginoplasty helps to:

• narrow the vagina;

• strengthen its walls;

• restore the pelvic floor muscles;

• eliminate prolapse of the vaginal walls;

• eliminate postpartum or postoperative scar changes;

• reduce the manifestations of urinary incontinence if they are associated with weakening of the pelvic floor muscles;

• help improve sensitivity and the quality of intimate life.

Vaginoplasty helps solve not only physical but also psychological problems associated with changes in the intimate area. Many women after surgery note the return of comfort, self-confidence, and satisfaction with intimate life.

Doctors at Oxford Medical recommend not postponing a gynecological examination if changes in the vaginal area cause physical or psychological discomfort. The earlier the cause of the complaints is established, the more opportunities there are to select the optimal treatment method.

The operation is usually postponed or not performed in the presence of:

• acute diseases of the pelvic organs or genital tract;

• acute infectious diseases with an increase in temperature and deterioration of the general condition;

• blood clotting disorders;

• decompensated diseases of the heart, lungs, kidneys, or other internal organs;

• uncontrolled diabetes mellitus;

• malignant neoplasms;

• pregnancy.

Some contraindications are temporary: after treatment or stabilization of the condition, the possibility of performing vaginoplasty can be considered again.

Preparation includes a doctor's consultation, gynecological examination, and laboratory tests. The specific list of examinations depends on the patient's age, the presence of concomitant diseases, and the planned type of intervention.

Before the operation, the following are usually performed:

• an examination by a gynecologist to assess the condition of the vagina, perineum, pelvic floor, and determine the necessary extent of correction;

• analysis of vaginal swabs to exclude an inflammatory process and infections;

• complete blood count and urinalysis;

• biochemical blood test;

• coagulogram to assess blood clotting;

• determination of blood group and Rh factor;

• testing for HIV, viral hepatitis B and C, syphilis;

• electrocardiography.

If the operation is performed under general anesthesia, food should be avoided for 6–8 hours before the intervention. Water can be consumed no later than 2 hours before anesthesia.

Doctors at Oxford Medical recommend informing the doctor at the planning stage about all chronic diseases, allergic reactions, previous operations, and medications that are taken regularly. This helps assess possible risks in advance and safely prepare for the intervention.

Vaginoplasty in Kyiv at the Oxford Medical medical center is performed by experienced genital surgeons in a modern inpatient setting. During the intervention, expert-class equipment and minimally traumatic surgical techniques are used, which makes it possible to perform the correction as accurately as possible. After the operation, the patient stays in a comfortable ward under round-the-clock medical supervision until discharge.

The main stages of the operation:

1. Anesthesia. The type of anesthesia is selected individually, taking into account the extent of the operation and the patient's general state of health.

2. Tissue plastic surgery. The doctor performs the correction in accordance with the planned extent of the intervention. Depending on the indications, the anterior or posterior vaginal wall is strengthened, the pelvic floor muscles and perineal tissues are restored, or other necessary manipulations are performed.

3. Suturing. After the plastic surgery is completed, the tissues are usually sutured with self-absorbing suture material, so there is no need to remove the sutures after the operation.

On average, vaginal plastic surgery lasts 1–2 hours, but its duration depends on the extent of the intervention and the need to simultaneously perform other reconstructive operations.

For the first 1–2 days after vaginoplasty, the patient stays in the inpatient department under medical supervision. Before discharge, the doctor provides recommendations regarding care, taking medications, and the date of the follow-up examination.

In the first days after surgery, moderate pain, swelling in the area of the intervention, and slight bloody discharge may be observed. This is a normal reaction of the body to the operation.

During the recovery period, it is recommended to:

• not lift objects weighing more than 5 kg for 4–6 weeks;

• abstain from sexual activity for 6–8 weeks or until the doctor's follow-up examination;

• not use tampons until the tissues have completely healed;

• not take a bath, visit a swimming pool, sauna, or bathhouse for 4–6 weeks;

• observe intimate hygiene and follow all the doctor's recommendations;

• attend follow-up examinations at the specified times.

If the work is not associated with significant physical exertion, it is usually possible to return to it after 1–2 weeks. It is recommended to return to sports and heavy physical labor only after the doctor's permission.

Doctors at Oxford Medical recommend not rushing to return to the usual rhythm of life, even if well-being has improved quickly. Observing postoperative restrictions creates conditions for proper tissue healing and helps reduce the risk of complications.

In case of heavy bleeding, an increase in body temperature above 38 °C, severe pain that does not decrease after taking prescribed medications, the appearance of discharge with an unpleasant odor, or pronounced swelling, you should consult a doctor as soon as possible. Such symptoms may indicate the development of complications.

The cost of vaginoplasty depends on the type and extent of the surgical intervention, the type of anesthesia, and the duration of the stay in the inpatient department. You can ознакомиться with the approximate cost here. To find out what the price of vaginoplasty will be in your case, book a consultation with a doctor. After the examination, he will determine the optimal extent of the operation and provide individual recommendations. Use the online appointment form on the website or call the contact center to book a consultation.

The information is for informational purposes and does not replace a doctor's consultation.

Sources:

• American College of Obstetricians and Gynecologists
• International Urogynecological Association
• US National Library of Medicine