Vaginal plastic (tightening) colporrhaphy

Vaginoplasty (colpoplasty or colporrhaphy) is a plastic surgery that restores the anatomy, reduces the volume of the vagina to eliminate organ pathologies and the associated discomfort for a woman.

Often women are embarrassed to go to the doctor or don`t know about the possibility of solving the delicate problem of dissatisfaction with their sexual life due to the increased volume of the vagina. This causes both psychological, aesthetic, and functional discomfort. Highly qualified specialists from Dobrobut Medical Center in Kiev use an individual approach to each patient, carefully assessing the situation and finding the best solution plan. Vaginoplasty surgery increases the elasticity of the muscles of the intimate area, thereby restoring the joy of sexual life to a woman.

The anterior and / or posterior wall of the vagina is subject to surgical correction, the procedure requires a short hospitalization for 1-2 days and is carried out with the use of anesthesia and has a strict rehabilitation regimen for up to 2 months.

Postpartum trauma (vaginal rupture, episiotomy scars, muscle sprains and rupture) is the most common reason for intimate vaginal surgery. Age-related changes are the second most frequent reason for visits in Ukraine: prolapse of the genitals, decreased elasticity of the muscle tone of the perineum and ligamentous apparatus. Congenital abnormalities of the female genital organs (infection of the hymen of the vaginal opening, aplasia (absence)) can also be a reason for vaginoplasty.

Every woman should consult a surgeon for advice if the following symptoms occur:

• pain during sex, decreased libido and severity of sexual relations;
• sensation of a foreign body in the vagina;
• painful scar from episiotomy or injury;
• low vaginal tone (poor sensitivity, air, water in the vagina);
• prolapse of the walls of the vagina and uterus with tension in the muscles of the press;
• gas incontinence;
• prolapse of the bladder, urinary incontinence;
• moral discomfort caused by aesthetic defects;
• fistula formation between the rectum or ureters and the vagina.

There are several degrees of prolapse of the vaginal walls:

• I degree - a slight displacement of the front or back wall (less often - at the same time) due to excessive pressure of internal organs;
• II degree - due to the increasing pressure, the walls descend to the entrance to the vagina;
• III degree - the vaginal walls and cervix are outside the vagina, while the body of the uterus is located higher;
• IV degree - the vaginal walls and uterus are outside the vagina.

The surgeon determines the degree of vaginal prolapse when examining the patient in a resting position and separately - in tension. After that, a decision is made on the scope of the operation and the type of vaginoplasty that is required to eliminate the problem. If prolapse of the vagina is accompanied by prolapse of the uterus and urinary incontinence, several surgeries may be necessary. Separately, the surgeon examines the treatment of patients who don't have medical indications for surgery, but who want to improve the quality of their sexual life. The gynecological surgeon assesses the condition of the pelvic organs, nearby organs, ligaments, and pelvic floor muscles, and learns about the patient's wishes.

Types of vaginoplasty

There are several methods of surgical correction. They depend on the nature of the functional and aesthetic problems:

• Colporrhaphy - used for stretching and increasing the volume of the vagina.
• Colpoiesis - used for narrowing of the vagina due to scarring or abnormalities.
• The laser method of vaginal fractional photothermolysis can also be used to rejuvenate and improve tissue tone.

Colporrhaphy

Colporrhaphy is a classic surgical technique that narrows the vagina and repairs pelvic organ prolapse, such as cystocele (prolapse of the bladder) or rectocele (prolapse of the rectum).

During the operation of colporrhaphy, an incision is made at the entrance to the vagina, passing inward to the apex of the vaginal canal. The surgeon excises a wedge-shaped or oval fragment of the vaginal mucosa, strengthens the muscles and tightens the tissues, reducing the lumen. The scope of surgical intervention can be limited to the vestibule of the vagina, provided there is a minor defect. Postpartum scars and scars are also removed during the operation.

The surgeon can prescribe a certain type of plastic, depending on which wall requires correction:

• plastic surgery of the anterior wall of the vagina - anterior colporrhaphy;
• plastic surgery of the posterior wall of the vagina - posterior colporrhaphy;
• correction of both walls - complete vaginoplasty.

Median colporrhaphy is also used - serious suturing of the vaginal walls with almost complete overlap of the entrance. This operation is prescribed only as a last resort and exclusively for elderly women who are not sexually active.

Indications for posterior colporrhaphy most often occur in girls who have given birth, since the posterior wall is subject to changes during pregnancy. At the same time, uniform prolapse and plastic of the anterior and posterior walls of the vagina is often found in older women. Also, the reason for the prolapse of the pelvic organs can be professional sports (regular tension of the abdominal cavity, lifting weights, surges in intra-abdominal pressure).

Colpoiesis

The operation is performed for congenital and acquired defects, which are accompanied by a significant narrowing of the lumen of the vagina. For the correction of vaginal aplasia, surgeons in Ukraine use an autologous transplant. Expansion of the vagina with post-traumatic narrowing is achieved by transplanting a fragment of the mucous membrane from another part of the genital organs.

Laser rejuvenation, or vaginal fractional photothermolysis

Vaginal laser rejuvenation is a non-invasive procedure for solving vaginal aesthetic problems as well as health problems such as moisture and bladder control. The method is applicable to both the inner and outer areas of the vagina. The principle of vaginal fractional photothermolysis is based on stimulating the formation of new elements of connective tissue (collagen, elastin, hyaluronic acid) in the vaginal wall. The activation of tissue regeneration and rejuvenation is achieved through exposure to a laser beam.

Preparation and operation

Before the operation at the Dobrobut medical center in Kiev, the patient undergoes a full medical examination, including:

• consultations with a gynecologist and an anesthesiologist;
• gynecological smear;
• a blood test for sexually transmitted diseases;
• general blood analysis;
• blood chemistry;
• blood clotting test.

As with any surgical intervention, vaginoplasty has its own contraindications. Some of them are related to general anesthesia, as well as to the general health of the woman. The doctor will tell the patient about the procedure in more detail during the consultation. The cost, timing and prices of the examination can be specified on the website or by contacting the call center.

Contraindications to colporrhaphy:

• Infection of the genitourinary system, including STIs.
• Genital herpes in the acute stage.
• Pregnancy and lactation.
• The presence of chronic diseases (endocrine, cardiovascular) in the stage of decompensation.
• Inflammatory gynecological diseases.
• Cancer diagnosis.
• Disturbances in the hemostatic system.
• Mental disorders and borderline mental states.
• Inflammation and rashes on the skin in the genital area of an infectious, allergic or autoimmune genesis.

An obligatory stage of preparation at the Dobrobut Medical Center in Kiev is a consultation with a surgeon with an examination on a gynecological chair. It is necessary to inform the doctor about feelings and experiences, as well as expectations from intimate plastic surgery. After consulting and communicating with the patient, the surgeon develops a strategy for solving existing problems and appoints the date of the operation.

During preparation for surgery, it is necessary to stop or significantly limit the intake of medications that affect the blood coagulation system. This includes drugs for headache, menstrual and joint pain, as well as drugs for the symptomatic treatment of colds. Your surgeon may recommend that you stop taking hormones and oral contraceptives.

The optimal time for surgery is the first few days after your period. Vaginoplasty surgery (colporrhaphy) in Ukraine is performed under general anesthesia or spinal anesthesia. The duration of the operation takes from one to one and a half hours. The period of stay in the hospital is 1-2 days.

Like any surgical intervention, vaginoplasty is accompanied by a violation of the integrity of the tissues. This can be the reason for the appearance of bruises, swelling and pain. These symptoms quickly disappear, since the vaginal mucosa and the tissues located under it are abundantly supplied with blood and have a high regenerative potential.

Prevention of postoperative complications includes measures to prevent bleeding, pain syndrome, circulatory disorders, breathing, urination, and bacterial infections. The correct behavior of the patient and strict adherence to all the doctor's recommendations helps to minimize complications or avoid them altogether.

Rehabilitation

Full rehabilitation is an integral part of vaginal plastic surgery. The rehabilitation period depends on the volume of the surgical intervention and can be from 1 to 2 months. The rate of recovery and the absence of complications largely depend on the patient's strict adherence to restrictions and following all the doctor's recommendations:

• in the first week, a woman is forbidden to sit up straight and squat;
• you cannot take hot baths, visit saunas, swimming pools, swim in open water;
• carrying weights is excluded, at least for a month; during the year, you cannot lift weight more than 5 kg;
• it is necessary to follow a diet that excludes foods that contribute to gas formation and lead to bloating and bloating of the abdomen and intestines, since any internal tension in the abdomen and expansion of the walls of internal organs can lead to a discrepancy of the postoperative sutures;
• sexual rest is recommended for two months after surgery;
• it is forbidden to do douching and use hygienic tampons.

Result

Vaginoplasty gives a lasting result - it eliminates aesthetic defects, improves sex life, restores the function of the genitals. If a woman does not plan to give birth in the future, the result of intimate plastic surgery will last for life. For patients who are planning subsequent pregnancies, vaginoplasty in Ukraine is performed according to functional and medical indications.

Price

The price for vaginoplasty (colpoplasty / colporrhaphy) depends on the complexity of the operation. You can find out the exact cost of examinations and the cost of an operation in Kiev after consulting a surgeon and determining the scope of surgical intervention.

It is important to remember that you should not engage in self-medication or self-determination of the diagnosis based on the information received in the text. At the first symptoms, contact our specialist for advice!