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Vaginoplasty: Treatment, Procedure, Cost and Side Effects

Last Updated: Feb 27, 2024

What is the Vaginoplasty ?

Vaginoplasty is the surgical procedure to repair the vagina. It helps in the treatment of vaginal injury, congenital abnormalities and complications associated with pelvic floor disease. Your sense of self-worth and sexual fulfilment are both enhanced. Some risks and side effects of vaginoplasty include numbness and dyspareunia.

Types of Vaginoplasty

The five main types of vaginoplasty are:

  • Intestinal Vaginoplasty: In this procedure, a part of the sigmoid colon is used to make a neovagina. Small incisions are required because it is a minimally invasive technique.
  • McIndoe Vaginoplasty: In this procedure, the skin graft is used to line the vagina. The skin graft is placed into the space that the surgeon has made.
  • Penile Inversion Vaginoplasty: Penile inversion vaginoplasty, also known as McIndoe vaginoplasty, is a surgical operation used to provide transsexual women vaginas. It can be performed along with intestinal vaginoplasty.
  • Buccal Mucosa Vaginoplasty: In this procedure, the surgeon helps to create and improve the vagina. It uses the tissues of the cheeks to create the vagina lining.
  • Peritoneal Vaginoplasty: In this procedure, the surgeon creates a vagina by using the linings of the abdominal cavity. It is a laparoscopic procedure.

Summary- The types of vaginoplasty are: intestinal vaginoplasty, buccal mucosa vaginoplasty, McIndoe vaginoplasty, penile inversion vaginoplasty and peritoneal vaginoplasty

Benefits of Vaginoplasty

  • Restores the tightness of the vagina
  • Improved personal comfort
  • Enhances sexual sensation
  • Reduced urinary incontinence
  • Improves self-esteem
  • Helps in the treatment vaginal disorders
  • Strengthens vaginal walls

Summary- Vaginoplasty helps to reconstruct the vagina and enhances sexual satisfaction.

Why is Vaginoplasty done?

Your doctor vaginoplasty for the following reasons:

  • Vaginal reconstruction
  • Improve sexual function
  • Create new vaginas for transgender women
  • To treat congenital abnormalities
  • Improve sexual satisfaction

Summary- Vaginoplasty is done to repair the vagina and improve sexual function.
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What are the risks of Vaginoplasty?

The risks of vaginoplasty include:

  • Inflammation
  • Pain
  • Bleeding
  • Infection
  • Scars
  • Urinary retention
  • Skin necrosis
  • Vaginal prolapse
  • Uterovaginal problems
  • Blood clots
  • Vaginal fistula

Summary- The risks of vaginoplasty are: vaginal prolapse, blood clots, vaginal fistula, uterovaginal problems and urinary retention.

How do I prepare for Vaginoplasty?

You will receive detailed instructions from your healthcare practitioner on how to get ready for vaginoplasty. Here are some general guidelines:

  • Get all tests and medical evaluations done before the surgery
  • Adjust your existing medication regimen
  • Quit smoking
  • Take the medications that your doctor has given
  • Be confident and positive

Summary- You should stop taking any medications and wear loose clothes before the surgery.

How Vaginoplasty is done?

During this surgery, the surgeon trims the extra skin from the vaginal entrance and separates the muscles and mucosa of the vagina. Then the muscles of the vaginal opening and canal are tightened. General or local anaesthetic will be used for the entire treatment.

Before the procedure

  • Get all your tests done
  • Take medications prescribed by the doctor
  • Stop smoking
  • Do not take anti-inflammatory drugs, herbal supplements, or blood thinners
  • Be confident and positive

During the procedure

  • Lie down on the table
  • You will be given anesthesia
  • Vaginal area will be cleaned with a sterile solution
  • The extra skin is removed
  • Vaginal mucosa is separated
  • Muscles are tightened
  • Incisions are closed by stitches

After the procedure

  • Get ample rest
  • Wear loose and comfortable clothes
  • Eat healthy and nutrient-rich foods
  • Avoid strenuous activities
  • Try doing some moderate or low-impact exercises
  • Don't smoke
  • Keep hydrated by consuming lots of liquids
  • Sleep well
  • Avoid sexual intercourse
  • Do not use tampons

How much does Vaginoplasty cost?

The price of vaginoplasty can range from Rs. 40,000 to Rs. 50,000 .

Is Vaginoplasty safe?

Like any other operation or surgical procedure, vaginoplasty also has some risks associated with it, though they are rare.

Some post-surgical risks include:

  • Infection
  • Bleeding
  • Pain
  • Blood clot
  • Inflammation

Summary- Yes, vaginoplasty is safe.

Is Vaginoplasty painful?

You will not experience any pain during vaginoplasty as it is carried under general or local anesthesia. However, you can experience little pain associated with swelling, tenderness, soreness and bruising.

Summary- You might experience little pain after vaginoplasty.

How long does it take to recover from Vaginoplasty?

The recovery time may vary in different patients. It will take around four to six weeks to fully recover from this surgical procedure.

Summary- After vaginoplasty, recovery could take one or two months.

What are the side effects of Vaginoplasty?

Some common side effects of vaginoplasty are:

  • Urinary retention
  • Bleeding
  • Bruising
  • Swelling
  • Infection
  • Skin necrosis
  • Suture line dehiscence
  • Vaginal prolapse
  • Inflammation

Summary- The side effects of vaginoplasty are: pain, bleeding, discomfort, infection and swelling.

Vaginoplasty Aftercare

  • Avoid strenuous activities
  • Keep away from any kind of exertion
  • Take no stress
  • Eat nutritious and healthy foods
  • Avoid sexual intercourse
  • Sleep well
  • Drink plenty of fluids
  • Wear comfortable clothes
  • Do not use tampons

Summary- Post-treatment guidelines for vaginoplasty are: take a healthy diet, and avoid strenuous and sexual activities.

Conclusion

A surgical treatment called vaginoplasty is used to address a variety of vaginal problems. The five types of vaginoplasty are intestinal vaginoplasty, buccal mucosa vaginoplasty, McIndoe vaginoplasty, penile inversion vaginoplasty and peritoneal vaginoplasty. It improves sexual satisfaction and gives you a confidence boost. Some risks and side effects associated with vaginoplasty are bleeding, swelling, infection and damage to other organs.

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Written ByDr. Santosh BhatiaMS - General Surgery,M. Ch. (Plastic Surgery),MBBS Bachelor of Medicine and Bachelor of SurgeryCosmetic/Plastic Surgery
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