Vaginoplasty is a surgical procedure to reconstruct or tighten the vaginal canal. It is often performed to treat vaginal laxity caused by childbirth or aging, or as part of gender-affirming surgery. Vaginoplasty can improve sexual function, restore vaginal tone, and enhance confidence.
Why Is a Vaginoplasty Performed?
- To correct vaginal laxity after childbirth or aging.
- To improve sexual sensation and function.
- To reconstruct the vagina after trauma or injury.
- As part of gender-affirming surgery.
- To address congenital abnormalities such as vaginal agenesis.
- To repair vaginal prolapse or other structural issues.
Procedure Overview
- Preparation:
- Avoid eating or drinking for at least 8 hours before the procedure.
- A complete medical evaluation may be needed before surgery.
- Stop taking medications that can increase bleeding risk (e.g., aspirin).
- During the Procedure:
- The procedure is performed under general anesthesia or local anesthesia with sedation.
- The surgeon will remove excess vaginal tissue and tighten the vaginal muscles using sutures.
- If the procedure is for gender-affirming surgery, tissue grafts may be used to create a neovagina.
- The incisions are closed with dissolvable sutures.
- The procedure typically lasts between 1 to 3 hours.
- Aftercare:
- You may experience swelling, bruising, and discomfort for the first few days.
- Pain medication and ice packs can help manage discomfort.
- Avoid sexual activity and tampon use for at least 6 to 8 weeks.
- Use vaginal dilators if recommended by your doctor to prevent scar tissue formation.
- Follow-up appointments are essential to monitor healing and address any complications.
Possible Risks and Complications
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Scarring that may cause discomfort or sensitivity.
- Loss of sensation in the vaginal area.
- Narrowing or closure of the vaginal canal.
- Pain during sexual activity (dyspareunia).
- Difficulty urinating or bowel movements.
Frequently Asked Questions
1. Is vaginoplasty a painful procedure?
Most patients experience mild to moderate discomfort after surgery, which can be managed with medication and ice packs.
2. How long does it take to recover from vaginoplasty?
Initial recovery takes about 4 to 6 weeks, but complete healing may take up to 3 months.
3. Will vaginoplasty affect sexual sensation?
Many patients report increased sexual sensation after surgery due to improved vaginal tone and muscle strength.
4. Can vaginoplasty improve urinary or bowel issues?
If the procedure includes pelvic floor repair, it may improve urinary and bowel function.
5. Are the results of vaginoplasty permanent?
Yes, but factors such as aging and future childbirth can affect the results over time.
6. When can I resume sexual activity after vaginoplasty?
You should wait at least 6 to 8 weeks to allow proper healing.
7. Can vaginoplasty be reversed?
In most cases, vaginoplasty results are permanent and cannot be reversed.