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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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University Hospital Rechts der Isar of the Munich Technical University

10/10 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.


location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

Department of Operative Gynecology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #334402

The Department of Operative Gynecology specializes in the surgical treatment of a wide range of gynecological diseases. A large number of operations for the treatment of benign and malignant diseases of the pelvic organs are carried out in a minimally invasive way by hysteroscopic or laparoscopic method.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

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...


location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Harlaching Munich

9.2/10 from 32 Votes

Department of Gynecology, Mammology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #143569

The Department of Gynecology, Mammology and Obstetrics provides all types of diagnostics and treatment of gynecological diseases. It treats both typical female diseases and severe diseases of the genital organs and breasts in women. There are treated over 5,500 inpatients every year.


location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Neuperlach Munich

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.


location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Gynecology and Gynecologic Oncology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #356782

The Department of Gynecology and Gynecologic Oncology offers the full range of services in these medical focuses. It provides both high-quality diagnostics and treatment of all benign and malignant gynecological diseases.


location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Muenster

9.8/10 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 Muenster is a leading department of maximum medical care in its specialization in Muenster and Westphalen region.


location_onCountry: Germany
location_searchingCity: Muenster
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Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #141765

The Department of Gynecology and Obstetrics in Schwabing looks after the women before, during and after the birth. The closed cooperation with the pediatric intensive care unit and pediatric surgery also allows the care of the earliest and risk births.


location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 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.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Gynecology and Obstetrics

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #337577

The Department of Gynecology and Obstetrics treats all benign and malignant gynecological diseases and also offers services in the field of obstetrics. All the efforts of the medical team are directed at the individual needs of the patient.


location_onCountry: Germany
location_searchingCity: Berlin

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Gynecology, Obstetrics, Mammalogy and Treatment of Urinary Incontinence

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #336587

The Department of Gynecology, Obstetrics, Mammalogy and Treatment of Urinary Incontinence is a competent medical institution that provides first-class medical care to patients with any clinical pictures related to a woman's health. Medical care is provided both in outpatient and inpatient settings.


location_onCountry: Germany
location_searchingCity: Karlsruhe

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Gynecology

Perineorrhaphy and plastic opening of the vagina in deformity of the external genitalia #357691

The Department of Gynecology offers the full range of diagnostic and therapeutic services in this medical field. The department specializes in the treatment of all gynecological diseases, pelvic floor diseases, plastic and aesthetic reconstructive surgery.


location_onCountry: Germany
location_searchingCity: Berlin

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.


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.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

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.


location_onCountry: Israel
location_searchingCity: Haifa

Marienhaus Hospital 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.


location_onCountry: Germany
location_searchingCity: Neuwied




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