Vaginoplasty is a surgical procedure designed to address vaginal laxity or looseness. Vaginoplasty refers to repair of vaginal canal and opening of the vagina. During vaginoplasty, excess vaginal mucosa is removed and the separated muscles are brought together in order to reduce the vaginal caliber, aiming to enhance sexual function.

Patients experiencing significant laxity are typically better candidates for vaginoplasty to achieve surgical tightening. Vaginoplasty can help reduce vaginal dryness and improve lubrication.

Nearly 50–75% of patients who present for vaginal rejuvenation have symptoms including leaking of urine, incomplete urination, incomplete passing of stools, painful sexual intercourse which result from an additional underlying problem called as uterine prolapse, cystocoele and rectocoele. It should be noted that vaginoplasty does not address these problems. It is essential to treat these conditions before attempting vaginoplasty.

Combination of procedure:

Labiaplasty and clitoral hood remodeling can be combined in one procedure with or without Vaginoplasty. However, recovery takes longer with combined procedures.

Patients at higher risk for medical or surgical complications and poor wound healing are:

1. Smoker: smoking should be withheld 4 weeks before and 4 weeks after the surgery
2. Diabetes mellitus: Diabetes should be meticulously controlled before the surgery.
3. Poorly controlled hypertensive: hypertension should be controlled and blood pressure should be normalized before the surgery to avoid any potential bleeding, hematoma and infection.
4. Significant pulmonary, renal, neurological cardiovascular disease,
5. Patients with vulvar disorders or history of vulvar or vaginal area radiation

Why do these procedures appear to “work?”

For vaginal tightening procedures, there appears to be an evidence‐proven anatomic justification. Evidence in the literature confirms that orgasm and orgasmic intensity may be produced by, and intensified by pressure on the more intensely innervated anterior vaginal wall.

Preparation before vaginoplasty:

• Rani will conduct a thorough assessment of your health and inquire about your medical history, as it is crucial to ensure your physical fitness for the procedure.
• Subsequently, Dr. Rani will provide guidance regarding the potential risks, benefits, and post-surgical care.
• Various tests may be conducted as part of the preparation for the surgery. It is highly recommended to quit smoking 4 weeks before and 4 weeks after the surgery.

Post operative care and advice:

Vaginoplasty is an outpatient procedure and the surgery is completed under local, spinal, or general anesthesia depending upon the level of patient fitness and acceptance. Vaginal packing is left in post‐operatively and removed prior to patient discharge. Routine instructions for vaginal surgery are given to the patient and she is seen for follow‐up at intervals advised by Dr. Rani.

Patient is prescribed anti-inflammatory medications to control pain and reduce the swelling. Patients may shower the following morning and are encouraged to avoid touching the operative area with fingers when possible to decrease risk of infection. They are also counseled to refrain from sexual intercourse and placing anything in the vagina (like tampons) and only to shower (no submersion/using bath tub) for a period of 8 to 12 weeks. The vaginal introitus and caliber are assessed and if felt necessary the patient will begin perineal massage in a warm water bath for 1 to 2 weeks prior to resuming penetrative sexual intercourse.

Frequently Asked Questions