Surgical correction of the intimate area is still perceived by many women only as an aesthetic operation, which is carried out for the purpose of external improvements or to improve the quality of sexual life. And plastic surgeons should be explained that vaginal plastic surgery, for example, is mainly aimed at solving serious medical problems. This operation will help a woman get rid of difficulty in defecation and urinary incontinence, pain during sexual intercourse and many other troubles that greatly impair her quality of life. Read more about the indications and possibilities of vaginal plastic surgery at estet-portal.com.
To whom and when can vaginal plastic surgery be recommended
Plastic surgery, during which the walls of the vagina are sutured, is called colporrhaphy. It can have both medical and aesthetic indications.
The main medical indication for vaginal plasty is the omission of its walls. Most often, such a nuisance manifests itself after childbirth, when the child was born large or the pregnancy was multiple. The descent of the walls of the vagina also happens after complicated childbirth, when there was a long period of attempts, or doctors had to use obstetric forceps, or during childbirth, there was a rupture of perineal tissues.
Vaginal prolapse can occur as a result of atrophic processes in tissues due to age-related fluctuations in hormonal levels and insufficient production of estrogen. The cause can be both heavy lifting and chronic constipation with severe straining.
As a rule, the question of surgical intervention for vaginal plastic surgery is raised when complications from adjacent organs appear.
For grade 1 vaginal prolapse, conservative treatment based on Kegel exercises is usually recommended.
When there is a prolapse of the 2nd and 3rd degree, surgical assistance is required. Medical indications for surgery:
• urinary incontinence – usually due to displacement of the urethra and prolapse of the bladder with prolapse of the anterior vaginal wall;
• calomania and gas incontinence – when the posterior vaginal wall is lowered and the rectum is displaced;
• discomfort during defecation (not associated with constipation);
• pain during intercourse and during physical exertion – due to the unstable position of the internal organs;
• the mucous membrane of the vagina protruding beyond the genital slit – provokes ulceration of prolapsed tissue, chronic vulvovaginitis with risk of malignant transformation.
Aesthetic indications for vaginal plastic surgery are postpartum anorgasmia and deterioration in the quality of sexual life, expansion of the vaginal fissure up to its gaping.
Varieties of vaginal plasty and surgical technique
All surgical manipulations are performed transvaginally. The cervix is fixed additionally with atraumatic clamps, a diamond-shaped flap is excised from the vaginal wall, the underlying muscles are sutured and fixed.
The position of the incisions for tissue excision is determined by the type of colporrhaphy:
• front – the anterior fornix of the vagina, bordering with the bladder, is sutured;
• rear – the wall bordering the rectum is corrected; in addition, plastic surgery of the muscles of the perineum can be performed;
• middle – combined excision and suturing of both walls of the vagina with severe prolapse with prolapse of the cervix.
After excision of the flaps, the tissues are sutured in layers. Submersible absorbable sutures are applied to the muscles and fascia, and the mucosa is closed with a continuous suture. It is necessary to control the edges of the surgical wound so that "pockets" do not form, and to prevent roll-like deformations near the suture in order to avoid rough scarring. If median plastic surgery of the vagina was performed, then the sutures are applied simultaneously to the anterior and posterior walls and connected to each other, and two channels are made on the sides to drain the uterine secretions. At the end of the operation, the vagina is dried, the walls are treated with alcohol, a swab with a disinfectant ointment is inserted, and a catheter is installed to drain urine.
Possible complications after vaginal plastic surgery are most often associated with the fact that the patient does not follow the doctor's recommendations.
In this case, suture separation, the formation of a rough scar, and even repeated descent of the vaginal walls are possible. The low efficiency of the operation may be associated with impaired tissue healing in the patient, with pronounced dystrophic changes.
Often, patients are interested in whether vaginal plastic surgery will be an obstacle to childbearing. Colporrhaphy is not a contraindication for pregnancy and natural childbirth. But in most cases, after the end of breastfeeding, the woman will be shown a second vaginal plastic surgery.
See also: Features of surgical correction of the female intimate zone
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