Vaginal refashioning (also called vaginoplasty or vaginal rejuvenation) is a surgical procedure to reshape or restore the vaginal canal and/or external genitalia. It may involve tightening muscles, repairing tissues, or addressing changes caused by:
- Childbirth: Looseness or damage to vaginal muscles.
- Aging: Loss of elasticity or vaginal laxity.
- Pelvic organs prolapse: Weakened pelvic floor muscles.
- Congenital conditions: Abnormal vaginal structure.
- Trauma or surgery: Scarring or narrowing (e.g., after cancer treatment).
Types of procedures:
- Anterior/posterior repair: Strengthening the front or back vaginal walls.
- Perineoplasty: Rebuilding the perineum (area between vagina and anus).
- Labiaplasty: Reshaping the labia (external genitalia).
Preparing for Surgery
- Pre-op Assessment:
- Pelvic exam or imaging to evaluate anatomy.
- Discussion of goals and expectations with your surgeon.
- Medications: Adjust blood thinners or supplements as advised.
- Fasting: No food/drink for 6–8 hours before surgery.
- Support: Arrange help for 1–2 days post-surgery.
- Counselling: Address emotional concerns about body image or sexual health.
During the Procedure
- Anaesthesia: Usually, general anaesthesia or local with sedation.
- Duration: 1–2 hours, depending on complexity.
- Procedure:
- Excess tissue is removed or tightened.
- Muscles (e.g., pelvic floor) may be stitched to restore support.
- Dissolvable stitches are typically used.
- Hospital Stay: Often outpatient (go home the same day), but some may stay overnight.
Recovery After Surgery
Immediate Care:
- Pain Management: Mild to moderate pain; prescribed painkillers or OTC medications (e.g., ibuprofen).
- Swelling/Bruising: Common for 1–2 weeks; ice packs may help.
- Wound Care:
- Keep the area clean and dry.
- Use gentle, unscented soap and pat dry.
- Avoid tampons, intercourse, or strenuous activity for 4–6 weeks.
- Bleeding: Light spotting is normal; contact your doctor if heavy.
Activity Restrictions:
- Avoid heavy lifting, exercise, or prolonged sitting for 2–4 weeks.
- Driving may be restricted for 1–2 weeks (check with your surgeon).
Long-Term Considerations
- Scarring: Minimal and typically fades over time.
- Sensation: Some temporary numbness; rare risk of altered sensitivity.
- Sexual Activity: Wait until fully healed (4–6 weeks). Discuss any discomfort with your care team.
- Pelvic Floor Health: Consider pelvic floor physiotherapy to strengthen muscles.
- Follow-Up: Check-ups to monitor healing and address concerns.
Risks and Complications
- Infection, bleeding, or blood clots.
- Scarring or asymmetry.
- Pain during intercourse (rare).
- Recurrent prolapse (if applicable).
Frequently Asked Questions
Q: Is this procedure only for cosmetic reasons?
A: No—it can address functional issues (e.g., prolapse) or improve comfort. Discuss your goals openly with your surgeon.
Q: Will vaginal refashioning affect childbirth?
A: Future vaginal delivery may not be recommended; discuss plans for pregnancy with your doctor.
Q: How long do results last?
A: Results vary. Aging, childbirth, or weight changes may affect long-term outcomes.
Q: Are non-surgical alternatives available?
A: Pelvic floor exercises, laser therapy, or pessaries (for prolapse) may be options for some patients.
eGynaecologist Advice:
- You should seek counselling services to discuss emotional/sexual health concerns with your gynaecological team if you are going to undergo vaginal refashioning
- You should seek gynaecological consultation if you develop signs of infection (fever, foul odour, pus), severe pain, excessive bleeding, or difficulty urinating.
