Vaginoplasty
Why is it being done?
- Repair any damage to the vagina during childbirth or trauma.
- Reconstruct the vagina in those women who had congenital defects in vaginal development
- Congenital disorders such as adrenal hyperplasia
- For treatment of malignant vaginal masses or abscesses to restore the normal structure and function
Procedure Description
Vaginoplasty is a procedure done to repair or construct the vagina.
- Technique used to perform it includes:
- The intestinal type - A portion of the small intestine or colon is used to create a new vagina.
- Sutures are used to secure the loose tissue.
What to expect before surgery?
- 3-6 months before the surgery, you will need to undergo permanent hair removal in the genital area.
- Smoking cessation.
- Weight reduction, in case of being obese.
- Practice various pelvic floor exercises as recommended.
- The surgeon will ask to stop oestrogen supplements at least 2 weeks before and painkillers like aspirin or ibuprofen 10 days before surgery.
What to expect on the day of surgery?
You will be asked to sign various consent forms before undergoing the procedure.
What to expect during surgery?
- After you are taken to the operation theatre, you will change into a surgical gown. The nurse will take your vitals.
- They will place an intravenous line in your arm or hand, and a urinary catheter will be placed in the urethra.
- General anaesthesia is given
- Extra skin is removed
- Stitches are used to tighten up the loose tissues
- The size of the vaginal opening is reduced
Labiaplasty
Labiaplasty or vaginal rejuvenation is a type of cosmetic surgery that is done to modify the labia minora and the labia majora.
Why is this done?
It is done in the following cases:
- Painful sexual intercourse due to enlarged labia
- Enlarged labial folds cause discomfort during sports activities
- Urinary tract infection
- Procedure description
- There are two techniques:
- Trim resection involves the removal of the tissue from the outer edge of one or both sides of the labia minora.
- Wedge resection involves the removal of the wedge or pie-shaped piece of tissue skin from the centre of the labia minora, leaving the submucosa intact. The remaining skin is then brought together using sutures.
- Labia Majora can be modified by either removing the excess tissue using liposuction in case of enlarged labia majora or by injecting fat in cases where labia majora is not as full as desired.
- In case of gender-affirming surgery, the graft can be taken from the penis to create the labia.
What to expect before surgery?
- Blood-thinning medications should be stopped 2 weeks before surgery
- Smoking should be stopped 4 weeks before and after the procedure
- Alcohol should not be consumed 2 days before the surgery
What to expect on the day of the surgery?
You will be asked to sign various consent forms before undergoing the procedure
What to expect during surgery?
- After you are taken to the operation theatre, you will change into a surgical gown. The nurse will take your vitals.
- They will place an intravenous line in your arm or hand and a urinary catheter will be placed in the urethra.
- Next, the surgeon will cleanse the labial region and shave the pubic area.
- Anaesthesia administered can be general or local depending upon the type of procedure being performed.
- The surgeon will decide about the surgical technique that has to be used to modify the labia minora or majora.
- The procedure takes less than 2 hours to complete.
- Hymenoplasty
- It is a procedure done for the reconstruction of the hymen.
Why is it done?
- It is done in the following cases
- For religious or cultural purposes
- To recover from a traumatic incident like rape in which hymen is torn
- Accidental rupture of the hymen due to bicycle riding, swimming, horse riding
- Imperforate hymen (entire opening of the vagina is covered by the hymen)
- Septate hymen(hymen tissue is split into rope-like bands)
- Procedure description
- The procedure is done under local anaesthesia
- In the basic technique, torn skin around the hymen is removed, and the remaining tissue is stitched together, leaving a tiny opening.
- In the Alloplant technique, if the hymen is not present, the surgeon may create a new hymen.
What to expect before surgery?
- Blood-thinning medications should be stopped 2 weeks before surgery
- Smoking should be stopped 4 weeks before and after the procedure
- Alcohol should not be consumed 2 days before the surgery
What to expect on the day of the surgery?
You will be asked to sign various consent forms before undergoing the procedure.
What to expect during surgery?
- After you are taken to the operating theatre, you will change into a surgical gown. The nurse will take your vitals.
- They will place an intravenous line in your arm or hand, and a urinary catheter will be placed in the urethra.
- Local anaesthesia is given.
- The surgeon will decide whether the basic or the Alloplant technique has to be performed.
- The procedure takes only an hour to complete.