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Gynecology: Deformity of the external genitalia — Perineorrhaphy and plastic opening of the vagina. Treatment

Vaginal plasty (or vaginoplasty) is a surgery designed to improve the appearance and functionality of the genitals. According to statistics, about 70% of women 35 to 50 years old resort to such interventions in the countries of Western Europe. As regards the reasons, the aesthetic dissatisfaction with genitals is in the first place, and next are pathological disorders.

Indications and Contraindications

The conditions for which the vaginoplasty can be indicated include:

  • postpartum stretching of the vaginal walls,
  • vaginal prolapse or cervix abasement,
  • scarring after childbirth, causing narrowing of the vaginal opening,
  • cystocele (bladder prolapse)
  • congenital malformations of the vagina (e.g., partial aplasia)
  • patient's dissatisfaction with the quality of intimate life.

The intervention is contraindicated for inflammatory diseases of genital organs, acute infections, cancer pathology of the reproductive sphere and coagulation failures.

Preparation for Surgery

Before surgery, the patient must get an advice of an obstetrician-gynecologist and a therapist. In order to assess the general health, the patient is asked to pass a set of studies, including:

  • blood tests (complete, for the blood group, HIV and hepatitis),
  • general urinalysis,
  • smears from the cervix and cervical canal,
  • ECG,
  • chest X-ray.

The procedure is assigned to the first phase of the menstrual cycle. On the eve, a woman talks to an anesthetist, who discusses the premedication method.

Procedure

The surgery technique depends on indications. When the vaginal walls are stretched, the surgeon excises a part of them, and then sets inner sutures on the edges of the wound. The problem of organ prolapse is resolved by ligament fixing.

Defects in the vagina structure are corrected by autoplasty. The missing parts of the organ are reconstructed using flaps of tissue of the intestine. All manipulations are performed under local or general anesthesia.

Rehabilitation

Within a few days after surgery, the patients are recommend bed rest and treatment of genital organs with antiseptic gels. To prevent infectious complications, the antibiotic therapy is prescribed.

In the next 3 months, the patient should refrain from active exercises. It is advisable to wear special underwear supporting the pelvic muscles. The surgery output is evaluated 1.5 to 2 months later.

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Age: 15 years or older

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Luisenhospital

9.8/10 from 3 Votes

Department of Gynecology, Obstetrics and Mammology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #30925

The Department of Gynecology, Obstetrics and Mammology offers a wide range of services in surgical gynecology ranging from the diagnosis up to the treatment of all benign and malignant diseases.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Cologne

9.8/10 from 82 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #77785

According to the Focus magazine  rating of 2017, the Department of Gynecology and Obstetrics at the University Hospital Cologne ranks among the top German departments specializing in obstetrics and breast cancer treatment! The Department provides the whole range of services in th...


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificate

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Gynecology, Obstetrics and Mammology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #108989

The Department of Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers patients a wide range of medical services. It treats patients with general gynecological, mammological diseases and infertility.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificate

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Gynecology, Mammology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #132629

The Department of Gynecology, Mammology and Obstetrics at the University Hospital Tubingen is the department of maximum care. There can be diagnosed and treated all diseases in the field of gynecology and obstetrics.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Tuebingen
certificatecertificate

University Hospital RWTH Aachen

8.9/10 from 41 Votes

Department of Gynecology, Mammology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #104283

The Department of Gynecology and Obstetrics comprises such fields as general gynecology and gynecological oncology, obstetrics and perinatal medicine. The Department occupies a top position nationwide in its specialization. The Department is focused on gynecological oncology, breast cancer and urogynecology.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Gynecology, Mammalogy and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #177985

The Department of Gynecology at the university hospital Klinikum rechts der Isar consists of the Department of Gynecology and a Medical Centre for Mothers and Children with a Department of Antenatal Care and Obstetrics as well as an integrated newborn intensive care unit.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

University Hospital of the Ludwig-Maximilians-University Munich

9.2/10 from 40 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #147521

The Department of Gynecology and Obstetrics is one of the best gynecological clinics in Munich. Women are offered highly professional medical care and care in any area of gynecology and obstetrics.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #52125

The Department of Gynecology and Obstetrics at the Alfried Krupp Hospital in Essen has a placed emphasis on the following tasks and areas: general and operative gynecology, Pelvic base Center/Urogynecologist, Breast Center, obstetrics, gynecological oncology, endometriosis, myomas.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

University Hospital Münster

9.4/10 from 78 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #137909

The Department of Gynecology and Obstetrics at the University Hospital Münster is a leading department of maximum medical care in its specialization in Münster and Westphalen region.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Gynecology and Breast Center

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #108569

The Department of Gynecology and the Breast Center at the University Hospital Charite treat all gynecologic cancers, endometriosis, urinary incontinence, organ prolapse, as well as offer services in the field of chemotherapy, anti-hormone therapy, immunotherapy and mammology.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin
certificate

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Obstetrics and Gynecology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #330284

The Department of Obstetrics and Gynecology of Lis Maternity Hospital at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of gynecological diseases and all problems related to women’s health.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

Department of Gynecology, Mammology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #247697

The Department of Gynecology, Mammology and Obstetrics at the Hannover Medical School offers the maximum range of services in the field of gynecology and obstetrics.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Rambam Health Care Campus

9.8/10 from 23 Votes

Department of Obstetrics and Gynecology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #328096

The Department of Obstetrics and Gynecology at Rambam Health Care Campus provides the full range of gynecological, obstetric, and prenatal services, including prenatal diagnoses, management of high-risk pregnancies, ultrasound examinations, infertility and gynecologic oncology treatments.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #292451

The Department of Gynecology and Obstetrics at the Marienhaus Klinikum St. Elisabeth Neuwied regularly performs all standard operations of its specialization field. The Department has a unique experience in endoscopic surgery, the so-called keyhole surgery.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Neuwied

Academic Hospital Neuperlach

9.8/10 from 11 Votes

Department of Gynecology, Mammology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #145631

The Department of Gynecology, Mammology and Obstetrics treats women both during pregnancy and birth as well as with gynecological diseases. In addition, the clinic offers special consultations for breast, uterine fibroids and pelvic floor weakness.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Gynecology and Mammology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #248651

The Department of Gynecology at the University Hospital of Halle (Saale) covers all fields of conservative and surgical gynecology. There function a few specialized interdisciplinary centers within the Department: the Gynecology Center, the Breast Center and the Pelvic Floor Center.


Duration: 8 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle
certificate




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