What Is Vaginoplasty?
Vaginoplasty is a surgical procedure to strengthen the pelvic floor muscles (perineum), reduce vaginal circumference and improve vaginal tone. The perineum plays a leading role in female sexuality, as its contraction is directly related to sensation during penetration. This is also the muscle responsible for urinary continence.
Women who have experienced a difficult delivery or who are overweight can suffer from weakening of the pelvic muscles, due to over-strain. Among older women, the bladder, rectum or uterus can prolapsed (fall) when pelvic muscles are too weak following menopause. If you have any of these conditions, please schedule a vaginoplasty consultation at our Montreal clinic.
How to Prepare
First, if you are pregnant or have just given birth, note that a 6-month waiting period is required after delivery before you can have the surgery. It is also important to note that if you wish to get pregnant in the coming year, we will have to delay the intervention until after your delivery.
Perineal rehabilitation is a good way to prepare for vaginoplasty. You will be required to do certain coordination, endurance and relaxation exercises with a physiotherapist specialised in perineal rehabilitation.
During the consultation, we will perform gynecological and sexological examinations to determine the anatomical condition of the vulva. If you are post-menopausal, we will discuss the possibility of substituting hormone therapy with a treatment to improve the elasticity of your perineum.
The operation lasts from an hour to an hour and a half. Usually performed under general anaesthesia, the surgery is performed in three stages:
1. Tightening of the perineal muscles. If necessary, the surgeon first tightens the muscles between the vagina and the anus to reduce the vaginal opening.
2. Narrowing of the vaginal entrance. The surgeon closes the lower vaginal entrance so that the opening is narrower and higher up.
3. Vaginal rejuvenation. Vaginal rejuvenation or "lipofilling" involves taking fat from the patient and injecting it into the vaginal walls to reduce vaginal circumference. This final step revives the sensitivity of the vaginal tissues.
You will need several days to recover after surgical vaginoplasty. It will be several weeks before you can resume your usual activities. You should plan to be off work for at least one week, and to refrain from all physical activity for one month.
You can progressively resume sexual activity after complete healing, in about 3 weeks. The vagina may be a little tight at first, but it will relax after you have intercourse a few times.
You can shower the day after the operation, but we will give you strict guidelines to follow for local hygiene. You will notice swelling of the vulva and some bleeding in the first few days; this is completely normal.
As this is relatively significant surgery, many risks are associated with it such as infection, hematoma, phlebitis, etc.
If you have any questions about this type of surgery, contact Centre de Chirurgie Plastique de l'Île-des-Sœurs today. We will be happy to provide you all the information you need.