The most common pathology is the prolapse of vaginal walls. Such anomaly creates physical discomfort, unpleasant, painful sensations and complexes in sexual life, pain during muscle tension in the abdominal region.
There are two options of vaginal laxity:
- The prolapse of the front wall of the vagina together with bladder, descending into the vagina. It is accompanied by uroclepsia.
- The prolapse or protrusion of the back wall of the vagina often together with the rectum. This leads to gas incontinence and difficulty in defecation.
The prolapse of the vaginal walls appears because of the incorrect arrangement of the pelvic organs while relaxing the muscles of the abdominal area as well as the pelvic floor.
Factors contributing to the occurrence of such prolapse:
- Congenital anomaly.
- Complications after childbirth.
- Long, complicated and traumatic childbearing.
- Giving birth to a large baby.
- Repeated or multiple births.
- Uterus removal.
- Rough labor.
- Connective tissue dysplasia.
- Pelvic organs injuries.
- Hormonal changes.
- Frequent cough, chronic constipation, which increase intra-abdominal pressure.
Indications for vaginoplasty
- Easy prolapse of the vaginal walls (front, back).
- Prolapse of the mucous membrane of the vaginal walls to the outside (into the perineum).
- Prolapse or protrusion of the uterus or cervix (uterus prolapse).
- Incontinence of urine and/or gas.
- Difficulty in defecation.
- Pains during sexual intercourse.
General contraindications: cancer, cardiovascular and acute infectious diseases, chronic hypertensive disease, thyroid disorders, diabetes mellitus, blood-clotting disorder, inflammatory disorders of genital organs, venereal diseases.
Specifics and types of vaginoplasty
The types of colporrhaphy are the following:
- Anterior colporrhaphy – plastic surgery of the front wall of the vagina.
- Posterior colporrhaphy – plastic surgery on the back wall of the vagina.
- Middle colporrhaphy is held on both walls of the vagina.
In the case of anterior or posterior colporrhaphy, the operation consists of similar tasks:
- Shape correction (size reduction) of the vagina.
- Restoration of the normal anatomy of the vaginal walls and perineum (perineoplasty).
- Removal of excess mucosal flaps.
- Stitching the pelvic floor muscles (levatoroplasty).
- Trimming of old scars.
How is the surgery performed in “Certus” clinic?
Pre-surgery examination: 1 hour.
Duration of the surgery: 1 to 2 hours (depends on the complexity and/or type of the surgery). The surgery can take place on an outpatient basis (the patient goes home after the procedure) or in a clinical setting (1 day).
Anaesthesis: general anesthesia or local anesthesia with sedating medications.
Incision options: on the inner side of the vaginal walls, perineum.
*Recovery period. The sutures are inner and self-absorbable.
You can not sit for 7-10 days after surgery. Temporary side effects wear off in 1-2 weeks. Patients can resume having intercourse or being physically active in 1-2 months.”
*Side effects: temporary pain, discomfort, swelling, decreased sensation, minor bleeding.
*Risks: sustainable healing, hematomas, infection complications, inflammation of genital organs, bladder or intestines trauma.
*Result: long-term. Pathology relapse is possible after the subsequent complicated childbearing.
*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.
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