Vaginoplasty and perineoplasty

Pregnancies, trauma during delivery, or other conditions can lead to the pathology of the perineum and the vagina, which often results in an impaired sex life. As this issue is intimate, women are often reluctant to seek medical help. The methods of modern gynecology and professional experience of specialists offer a possibility to solve this problem surgically by performing cosmetic vaginal surgeries.

How Is the Surgery Performed?

The surgery is performed under general or regional anesthesia.
Vaginoplasty can be performed in conjunction with perineoplasty during the same surgery.
During perineoplasty, the pelvic floor muscles are sutured closer, and supporting tissue (fascia) is tightened. Moreover, any existing scar tissue as a result of previous surgical incisions (episiotomies) or tears during delivery is removed.
The method of vaginopasty is tailored individually considering every woman’s wishes and planned pregnancies.
During vaginoplasty, the incisions are made inside the vagina, and the perineal muscles are sutured closer. Sometimes excess tissue is also removed. A special mesh can be used to achieve better and long-lasting results.
The incisions are closed with absorbable sutures. After this surgery, a woman can deliver her baby through a planned cesarean section.
An alternative surgical approach offers an autologous fat transfer when the patient’s own fat is injected into the vaginal wall. The fat can be harvested from the waist, buttocks, thighs, or abdomen. This method is recommended for women who plan to become pregnant in the future, as it allows vaginal (natural) childbirth.

What Should Be Known After Surgery?

  • The patient should refrain from sexual intercourse for 6 weeks after the surgery;
  • Physical activities and exercising are discouraged approximately for 2 months until the surgical wounds heal completely.