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,
- 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.
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.
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.Hide