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Vaginoplasty, also known as vaginal plastic surgery, is a surgical procedure resulting in the reconstruction of the vagina. With vaginoplasty, slacking or loose vagina resulting from childbirth or aging is tightened up.

What is vaginoplasty?

Women may experience serious problems such as vaginal tearing and enlargement, especially after normal birth. One of the most common problems as a result of the vagina expanding and losing its previous tightness is sexual dissatisfaction. In addition to normal birth, abortion and similar interventions can also be listed among the causes of vaginal enlargement. Especially after a difficult normal birth, the intravaginal muscle and connective tissue may tear and permanent enlargement of the vagina may occur.

 

Consisting of muscle and connective tissue, the vagina is an organ where sexual intercourse takes place in women and is 8 to 10 cm long. As muscle and connective tissue decreases over the years, desensitization can negatively affect the sexual pleasure of men and women. Unless pleasure can be felt mechanically during sexual intercourse, sexual reluctance and anorgasmia may develop.

 

The vagina, which usually enlarges due to normal birth, may also enlarge due to reasons such as aging, frequent sexual intercourse, smoking, menopause, genetic predisposition, abortion, frequent gynecological examinations and miscarriage.

 

Vaginal laxity, which occurs due to the stretching of tissues and separation of muscles due to the dilation of the vaginal canal after birth, and which can even reach the level where the tampon falls out in some women, is considered one of the most important causes of sexual dysfunction.

 

Vaginoplasty can be performed to treat a variety of problems, including vaginal injuries resulting from childbirth and complications of pelvic floor disease. Vaginoplasty aims to improve the appearance or function of the vagina. The scope of the procedure may vary depending on the patient’s needs and expectations.

Vaginoplasty is a surgical procedure applied to the vaginal wall to narrow and tighten the vagina. Wear and tear in the vaginal area due to birth or aging can be reversed with vaginoplasty.

 

While vaginoplasty surgery is planned specifically for the patient, the amount of tightening desired to be achieved and the amount of excess skin that needs to be removed from the vagina are determined first. The tissues under the skin are compressed with strong stitches. After tightening the vaginal canal, the mucosa and skin are sutured and then closed. In cases where there is skin protruding outward, this part can be removed to obtain a more aesthetic appearance.

How is Vaginoplasty Surgery Performed?

Vaginoplasty surgery is performed under general anesthesia. Vaginoplasty, which takes approximately 30 to 40 minutes, is a reconstructive procedure. It is applied to restore firmness and elasticity to vaginal tissue that is enlarged and damaged due to various reasons.

 

As part of vaginoplasty surgery, deformed vaginal tissue is removed. The surrounding muscles and other tissues are tightened. Since the expansion of vaginal tissue is at different levels in each patient, vaginoplasty must be planned and performed specifically for each patient.

 

When vaginoplasty is performed to repair postpartum injuries, excess skin is removed. Then, the loose tissues in part or all of the vagina are fixed with stitches. The procedure is completed by reducing the vaginal opening.

 

The aim of the vaginoplasty procedure performed to repair congenital defects is to create a functional vagina. As part of the procedure, excess tissues or abnormal structures are removed and procedures are performed to prevent blood accumulation during menstruation.

 

In the vaginoplasty procedure, which is performed as part of gender reassignment surgeries, the male external genital organs are completely removed and restructured. The skin of the penis and scrotum is used to create the vaginal canal and labia.

 

Depending on the problem and the changing conditions of the patient, non-invasive vaginal tightening, in which the tissues are heated with radiofrequency waves or laser, may be considered as an alternative to vaginoplasty surgery. However, this technique may not provide sufficient effect in patients with significant laxity. Therefore, a surgical procedure, namely vaginoplasty, may be a more effective option.

 

Laser vaginal tightening is easily tolerated by the patient as there is no surgical procedure involved. It is a painless method that does not require anesthesia. Laser vaginal tightening, which has become increasingly popular in recent years, is applied to increase sexual arousal and sexual pleasure in men and women, to facilitate orgasm and to treat urinary incontinence.

 

Laser vaginal tightening may be more advantageous than the vaginoplasty method since it does not carry any surgical risks. It provides effective results for people who have urinary incontinence problems but do not have sagging bladder. In vaginoplasty, the back part of the vagina of 5 to 6 cm is narrowed, while in laser vaginal rejuvenation, the entire vagina can be tightened.

 

In particular, vaginoplasty may be a better choice for women who have advanced vaginal enlargement due to normal birth, who have sagging in the bladder or intestines, and who need to have the episiotomy incisions made during birth aesthetically corrected.

 

Laser vaginal tightening is performed while the patient is lying on the gynecological examination table, without the need for local or general anesthesia. It is completed in approximately 20 minutes. The patient does not feel any pain other than increased temperature and a slight stinging sensation in the vagina. There is no surgical incision. There is no infection or bleeding. During the procedure, a laser probe is inserted into the vagina. The vaginal walls are scanned horizontally and longitudinally with laser light. In this way, the tightening effect spreads throughout the vagina.

What is the Recovery Process After Vaginoplasty Surgery?

Patients can usually return to their normal daily lives within a few days after vaginoplasty surgery. During this period, there may be bleeding in the form of leakage and slight pain. In this process, using simple painkillers prescribed by the doctor may be beneficial. During the recovery process, it is important for patients to use their medications regularly and pay due attention to personal hygiene and toilet cleaning.

 

Self-dissolving stitches are used during vaginoplasty surgery. Therefore, stitches do not need to be removed. Additionally, since the incision is made inside the vaginal canal, there is no visible scar from the outside.

For 4 to 6 weeks following vaginoplasty surgery, you should not go to the sea or the pool, or be in environments such as saunas and Turkish baths. Additionally, sexual intercourse should not be had during this period.

 

After the laser vaginal tightening procedure, it is usually possible for patients to return to work and bathe on the same day. It is common to have a slightly pinkish discharge for the first few days, then a light-colored discharge for about 7 to 10 days. There may also be a slight burning inside the vagina. Medicines prescribed by the doctor should be used regularly to reduce complaints. After laser vaginal tightening, sexual intercourse should be avoided for 7 days. It is possible to combine laser vaginal tightening with procedures such as genital whitening, labiaplasty and tightening of the outer lips.

Is Vaginoplasty Surgery a Risky Surgery?

As long as vaginoplasty surgery is performed by expert and experienced doctors, successful and healthy results can be achieved. On the other hand, like all surgical procedures, it brings with it some risks.

The most common risks of vaginoplasty surgery are; These can be listed as bleeding, intestinal injury, infection, pain during sexual intercourse due to excessive narrowing, and failure to meet postoperative expectations.

In Which Age Groups Are Vaginoplasty Surgeries Performed?

Vaginoplasty is a procedure performed to tighten the vagina and is generally performed in two age groups.

The first group generally consists of young patients, and vaginoplasty is generally performed to correct vaginal deformations caused by postpartum episiotomy incisions not healing properly. In this group, aesthetic and sexual problems are generally at the forefront.

 

The second group includes patients of older ages. Rather than aesthetic concerns, functional disorders such as urinary incontinence and bladder prolapse (cystocele), uterine prolapse, and prolapse in the rectum (rectocele), the last part of the large intestine, are at issue. In this group of patients, who often hesitate to consult a doctor about their problems, sexual problems may be observed in both men and women.

What is the Effect of Vaginoplasty Surgery on Orgasm?

Orgasm in women is divided into two: vaginal orgasm and clitoral orgasm. When the vagina is narrowed with vaginoplasty surgery, the contact between the vagina and the penis increases. Thus, as the pressure applied to the G-spot increases, the clitoris shifts slightly towards the vagina due to the narrowing of the vaginal entrance. In this way, the clitoris is stimulated more. More stimulation of the G spot and clitoris can provide a shorter and more intense orgasm.

Why is vaginoplasty done?

Some situations that require vaginoplasty, or vaginal tightening surgery, can be listed as follows:

  • Disturbing gas or air sounds during sexual intercourse
  • Damage and loss of elasticity in the internal genital system due to normal birth
  • Negative effects on sexual life due to vaginal enlargement
  • Bladder prolapse (cystocele) and bowel prolapse (rectocele)
  • Pain during sexual intercourse
  • Problems causing loss of self-confidence in women

Thanks to vaginoplasty surgery, women’s sexual lives are significantly improved. As the looseness in the vagina is eliminated, the sexual life of couples reaches a more satisfactory level.

 

Although concentration is very important for couples to achieve orgasm during sexual intercourse, loosening of the vagina and loss of firmness may cause distracting sounds during sexual intercourse. It is possible to solve this problem thanks to vaginoplasty.

 

Vaginal prolapse, especially after birth, can cause painful sexual intercourse. The vaginoplasty procedure both improves the aesthetic appearance of the vagina and helps reduce its looseness. Thus, it allows you to have a functional and aesthetically corrected vagina. In this way, women may experience increased self-confidence.

How Long Does Vaginoplasty Surgery Take? When is the best time for Vaginoplasty after birth?

Vaginoplasty surgery is completed on average between 45 minutes and 2 hours. The duration of vaginoplasty surgery may vary depending on the condition of the patient’s vaginal tissues and the desired result.

 

Vaginoplasty surgery can be performed 6 months after cesarean delivery and at least 1 year after normal birth. It is not recommended to perform vaginoplasty before these periods. There is no obstacle to normal birth after the vaginoplasty procedure. However, a new normal birth may cause the effect of the surgery to disappear.

 

It is possible to perform the vaginoplasty procedure by surgical or laser method, but which method is preferred may vary depending on the needs and complaints of the individual patient.

In some patients, it may be necessary to combine vaginoplasty with the perineoplasty procedure.

Who is a suitable candidate for vaginoplasty? How Much Can the Vagina Be Narrowed with Vaginoplasty?

Vaginoplasty is a cosmetic gynecology procedure. In case of vaginal enlargement due to multiple normal births, it is possible that the muscles cannot grasp the penis during sexual intercourse and sexual dysfunction may occur. In later ages, conditions such as urinary incontinence, rectal and uterine prolapse may occur. Vaginoplasty procedure can be used to eliminate these problems.

 

Vaginoplasty surgery is also an effective procedure for people who have difficulty in urinary incontinence or defecation due to birth trauma and muscle weakness. Women who wish to have birth defects and/or trauma repaired to improve sexual function, women who require vaginal reconstruction after removal of the vagina for various reasons, women born with congenital abnormalities that affect vaginal development, and people who have undergone gender reassignment surgery may also be listed as candidates for the vaginoplasty procedure.

 

In vaginal tightening surgery, which can be performed with local or general anesthesia, tissues can be removed starting from the entrance of the vagina to an average of 6 to 7 cm into the inner part of the vagina. The amount of expansion may be greater, especially in women who have given birth to multiple births. In these patients, narrowing of up to 7 to 8 cm can be performed.

How much are vaginoplasty prices?

Vaginoplasty prices may vary depending on the technique to be used, the scope of the procedure, the type of anesthesia, whether it will be combined with a different procedure, the experience of the doctor, and the quality standards and price policy of the hospital or clinic.

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