If you wish to improve the sexual functioning of your vagina and its appearance by retightening the vaginal walls that were effected by advancing age or childbirth.
If you wish to improve the sexual functioning of your vagina and its appearance by retightening the vaginal walls that were effected by advancing age or childbirth.
This surgery will retighten the vagina walls by reducing the amount of stretch muscle at the back of the vagina.
Some common risk and possible complications are mild bleeding, scabbing, bruising, infection, and allergic reaction.
The non-surgical options can include creams that can be inserted into the vagina to tighten the walls but are not as effective. Additionally, patients can do Kegel exercises.
There are no other known/approved surgical options other than vaginoplasty.
If you do not have this procedure, your vagina walls will remain the same and as you get older, the muscle at the back of the vagina will begin to naturally stretch/become loose. Patients may try other alternative solutions before proceeding with this surgery.
The vaginal walls are pretty stable over time, they do experience stretching and contracting regularly but there will be no extreme differences in the tightness.
The muscle at the back of the vagina is first located and afterwards, it will be reduced through an incision that will surgically remove the excess portion of the stretched vagina muscle. The vagina muscle is then sutured together.
There will be no visible scarring and the patient will immediately experience tightening of the vagina.
These can be found on my website or during consultation.
Vaginoplasty can be accompanied with labial reconstruction.
It will last for a long time, as long as the patient does not go through vaginal birth again and it is natural for the vagina to become looser as she ages.
The surgery cost will range from $4,500 and up
The incision will be located along the vaginal canal and it will start from the very back of the vagina to the opening (front).
No, the scars are not visible since it is hidden inside the vagina.
The surgery should usually take around 1-2 hours.
It is advised that patients resume sexual activity after 6 weeks.
It may affect your ability to get pregnant and women are advised to consider not to have children after this surgery is performed.
Usually you won’t experience any changes but you will feel numbness and extreme tightness after the surgery.
The full recovery/healing usually is achieved 13 weeks after the surgery.
The surgery should not affect any bowl movements or the ability to urinate.
In the short term, patients will feel extreme tightness and some sort of discomfort. In the long run, this discomforts and extreme tightness will subside.
These symptoms should subside within 3-7 days, depending on the patient.
You will experience some degree of pain but mostly just discomfort.
I usually prescribe Tylenol 3 and Percocet for a few days to a few weeks after surgery depending on your pain tolerance.
My usual protocol does not use drains, tubes or catheters because I use special closure technique to decrease the needs of these devices.
Patients need to have 2-3 days of complete bed rest, apply ice to reduce swelling, properly clean/dry vagina, apply topical medication and all other medications prescribed. Additionally, patients should avoid vigorous exercise for 3-4 weeks.
You can use a sitz bath to help clean your incision area daily.
My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.
Patients can return to their normal routine within 3-7 days after the surgery.
You can drive once you are off your narcotic medication..
Patients can return to their routine within 3-7 days after the surgery.
This will be discussed with by my anesthesiologist. My procedure is usually done under general anesthesia/local freezing.
All my patients see the anesthesiologist before but usually on the day of surgery. For one who has special needs, I frequently arrange for consultation with anesthesiologist a few days before surgery.
I review all patient medications on initial consultation, pre-operative appointment and day of surgery.
In general, all medication that may cause bleeding or prolong bleeding time may need to be stopped or alter. One should not stop any medication without consulting with your family physician and the specialist that put you on these drugs.
For my patients, general lab tests such as CBC, electrolytes, liver function, INR, PTT, cardiogram are fairly routine, Other tests may be ordered if one has special medical condition.
It is suggested that you don’t eat 6 hours before the surgery.
We recommend that you arrive 1 hour and 30 minutes before your surgery. We will also try you on your mobile phone if the time of surgery has been changed.
This can be found on the website, on our mobile app, or call our office directly.
It is a good idea to have someone drive you home.
- Arrange for personal items you might need during your hospital stay
- Arrange for someone to take care of responsibilities at home and work
- Arrange for someone to take you home from the hospital
- Arrange for someone to stay with you the first night after surgery
- Call your doctor if you think of other questions
- Notify your doctor if you get sick within 10 days of your surgery (even minor illnesses like a cold)
- No eating or drinking 6 hours before surgery.
- Do not drink alcohol 24 hours prior to surgery. Do not smoke at least 6 weeks prior to surgery.
- My contact information can be found on my website or at the office.
Make sure you have directions to the hospital/office for visitors - Wear loose clothing to the clinic/hospital
- Make sure to buy any equipment you may need for sitz baths as advised by your doctor
- Arrange for personal items you might need during your hospital stay
- Arrange for someone to take care of responsibilities at home and work
- Arrange for someone to take you home from the hospital
- Arrange for someone to stay with you the first night after surgery
- Call your doctor if you think of other questions
- Notify your doctor if you get sick within 10 days of your surgery (even minor illnesses like a cold)
- No eating or drinking 6 hours before surgery.
- Do not drink alcohol 24 hours prior to surgery. Do not smoke at least 6 weeks prior to surgery.
- My contact information can be found on my website or at the office.
Make sure you have directions to the hospital/office for visitors - Wear loose clothing to the clinic/hospital
- Make sure to buy any equipment you may need for sitz baths as advised by your doctor
The surgery should take around 1-2 hours.
You will be awake during the surgery and will receive local numbing in and outside the vagina.
Usually in the recovery room, within an hour of your surgery ending.
You will receive IV antibiotic immediately prior to surgery start and additional doses if the surgery last 6 hours. The antibiotic dosing follows the national surgical site infection protocol.
- Make sure your identity has been confirmed with name and date of birth
- Make sure you have confirmed the surgery you are having
- Make sure the correct site of your surgery has been marked
- Confirm any allergies and side-effects you might have
- Make sure you understand and have signed the informed consent forms
I usually talk to you in the recovery room as well as with one to two days after surgery in your postoperative visit to explain how your surgery went.
The antibiotics are stopped within 48 hours of surgery.
Discuss with your surgeon.
My usual protocol does not use drains, tubes or catheters because I use special closure technique to decrease the needs of these devices.
You may eat and drink after surgery as soon as you feel well and not nauseated. Start with a soft, bland diet.
My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.
You need to have instructions reviewed with a responsible adult and you must meet all discharge criteria.
You will receive pain pill prescription to fill prior to surgery.
A sterile cloth containing antibiotic cream will be inserted into your vagina, it will be removed by the patient after 24 hours. Afterwards, the patient will need to apply topical medication and properly clean/dry their vagina (avoid baths).
Apply ice onto the area to reduce swelling and take prescribed pain medication.
Tell the doctor or nurse which pharmacy you prefer. Non-narcotic medications such as Compazine may be sent electronically but narcotic pain medications must be printed and hand delivered to the pharmacy.
Yes, you will receive a list of medications to avoid prior to surgery and initially after surgery. Do not take NSAIDS, ibuprofen, or aspirin until your doctor approves.
You should take one next morning after the surgery and multiple times a day
It is suggested you take a shower a day after the surgery but if you do need to take a shower, avoid the vaginal area.
I usually prefer to see my patient 1-2 days after the surgery.
The sutures are dissolvable, meaning they do not need to be removed, they will remove on their own.
It is recommended that you have 2-3 days of complete bed rest and have someone take over the duties within the house.
You may resume work again after 3-7 days.
You can drive once you are off your narcotic medication.
It is recommended that you avoid engaging in sexual activity for 6 weeks.
- Make sure your care providers wash their hands before and after your care
- Do not wait until your pain is severe before you ask for pain medication
- Make sure the call button is within reach before medical staff leave the room
- Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy
- Do not get out of bed without help if you feel weak or dizzy
- You have a fever higher than 100.4 degrees Fahrenheit
- You have shortness of breath or chest pain
- You notice increased redness, swelling, warmth, or pain around your surgical incision
- You notice that your incision is separating or you have infected discharge from your incision
- You have difficulty or pain when urinating
- You have nausea or vomiting that cannot be controlled
- Your dressing is repeatedly soaked with blood
- You feel excessive swelling and pressure around your pelvic area
- You have persistent numbness or tingling in your pelvic area
- You have pain that your existing pain medications cannot control
- Take pain and other medications as prescribed
- Do not drive when you are on prescription pain medications
- Do not soak in a bath or go swimming for ten days after your surgery
- Keep your incision clean and dry
- Take sitz baths several times a day to ease pain and discomfort
- Do not use tampons or douche for as long as your doctor advises
- Avoid straining or bearing down during urination
- Avoid strenuous exercise and heavy lifting as long as your doctor advises
- Follow your doctor’s instructions on resuming normal daily activities
- Follow your doctor’s instructions on resuming sexual activity
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