Vaginoplasty

Vaginoplasty, in the cosmetic and functional sense used here, is surgery to tighten a vaginal canal that has become lax, usually after vaginal births. It is also called posterior colporrhaphy with perineoplasty. It is different from gender-affirming vaginoplasty and from reconstruction for congenital absence of the vagina, which are specialised operations planned separately.

It narrows the canal and rebuilds the perineum, which can improve the sensation of looseness and the appearance of the opening. It does not reliably improve sexual satisfaction, which has many causes, and it is not a treatment for urinary incontinence or significant prolapse. Professional bodies advise caution and careful counselling.

What Vaginoplasty involves

After examination to rule out prolapse that needs a different repair, the surgeon marks a wedge or diamond of lining on the back wall of the vagina. Under anaesthetic this lining is lifted off, the stretched pelvic floor muscles and fascia beneath are brought together in the midline with dissolving stitches, and the excess lining is trimmed. The perineal muscles at the entrance, often separated by tears or episiotomy, are rejoined and scarred skin is removed (perineoplasty). The width is checked so that the canal comfortably admits two fingers. A pack and urinary catheter may be left in overnight.

Who is a good candidate for Vaginoplasty?

It is for women with persistent symptoms after childbirth who have completed their families.

• You feel persistent looseness that affects you, more than a year after your last birth
• Pelvic floor physiotherapy has not resolved it
• You have a gaping or scarred perineum after tears or episiotomy
• You do not plan further vaginal births

Es ist normalerweise nicht die richtige Wahl, wenn:

• You plan more children; a vaginal birth would undo the repair, and a caesarean may be advised after it
• You have pain with sex, vaginismus or pelvic pain, which tightening can worsen
• Your main problem is urine leakage or a bulge, which need urogynaecology assessment
• You are being pressured by a partner, or expect surgery to fix a relationship
• You are under 18

Technikoptionen

• Posterior repair with perineoplasty: The standard operation for laxity after childbirth.
• Perineoplasty alone: When only the entrance is wide or scarred.
• Combined with labiaplasty: For women who also want labia reduction in one anaesthetic.
• Combined prolapse repair: When the bladder or rectum bulges into the vagina, performed by a urogynaecologist.
• Pelvic floor physiotherapy: The non-surgical first step, and useful after surgery too.

Was passiert während Ihrer Behandlung

Surgery takes 1 to 2 hours under general or spinal anaesthetic, with a day case or 1 night stay. Afterwards the perineum is swollen and sore, sitting is uncomfortable for 1 to 2 weeks, and the first bowel movements can be painful, so stool softeners are given.

Vorbereitung auf Ihre Reise

Planen Sie 7 bis 10 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Rest for the first week, using ice packs and keeping the area clean with daily showers. Most women return to desk work after 1 to 2 weeks. Avoid lifting, straining and constipation for 6 weeks. No sex, tampons or baths for 6 to 8 weeks. Stitches dissolve, and threads in the discharge are normal. A review at 6 weeks confirms healing; dilators or physiotherapy are occasionally advised if the entrance feels tight.

• Back to everyday activity: 1 to 2 weeks; no sex for 6 to 8 weeks
• When results show: At 6 to 8 weeks
• How long they last: Long lasting unless you have another vaginal birth

Sicherheit, Risiken und Revisionspolitik

Most complications are minor, but the most troublesome one, painful sex, can be lasting.

• Pain during intercourse from over-tightening or scar tissue
• Bleeding or haematoma
• Wound infection or separation
• Injury to the rectum or bladder, which is rare
• Difficulty passing urine for the first days
• Constipation and painful bowel movements
• Persistent sense of laxity or dissatisfaction with the result

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Vaginoplasty in Türkiye

Clinic-Y does not publish a single price for Vaginoplasty, because the honest figure depends on your case. What moves it:

• Extent of repair and whether perineoplasty or labiaplasty is added
• Anaesthetic type and hospital stay
• Whether a gynaecologist or urogynaecologist is needed for prolapse
• Follow-up and physiotherapy

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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