Vaginoplasty in London
During natural childbirth, most women experience tremendous stretching and may have damaged the mucosa resulting in widened vaginal canal. Vaginoplasty surgery also known as vaginal rejuvenation is performed to tighten and strengthen the vaginal canal and tissues.
Vaginoplasty is most commonly performed in the UK for correcting vaginal defects that some may have been born with, however, it can also be performed for sex reassignment surgery.
The procedure is performed to reshape and tighten the tissue walls inside the vagina helping women achieve a youthful appearance to boost self-esteem as well as improve their sexual life.
Pelvic floor prolapse occurs when one or more of the organs from the pelvis slips down, causing it to bulge from the vagina. Pelvic floor prolapse can sometimes be fixed with certain pelvic exercises, however, in some instances, the prolapse causes physical pain and discomfort. If this happens to you, you may wish to undergo pelvic floor repair.
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Dr Paraskevi Dimitriadi
Dr Paraskevi Demitriadi is a specialist aesthetic gynaecologist and has trained at some of the world’s leading hospitals in all aspects of gynaecology. Dr Demitriadi continues to practice in the NHS at University College London Hospitals NHS Trust (UCLH). She is a active member of the research team at the renowned Woman’s Health Institute at UCLH and lectures both nationally and internationally on a range of topics in aesthetic gynaecology. She is a full member of the Royal College of Obstetricians and Gynaecologists (RCOG) and the European Society of Aesthetic Gynaecology (ESAG).
Dr Dimitriadi is known for her caring, patient-centred approach, supporting all her patients and she always strives to optimse patient outcomes at stages of the patient journey.
Expected results from vaginoplasty surgery
Benefits of Vaginoplasty
- The vagina can go back to the pre-birth condition
- Can increase sexual pleasure by tightening loosened vaginal walls
- Helps to boost self-esteem
Potential Side Effects
- Infection and bleeding that can be avoided with a good aftercare routine
- Temporary changes in sensation
When the pelvic floor – a group of muscles and tissues – becomes weakened, the organs will then no longer be supported and will slip down.
There are four different types of prolapse. These are:
- Anterior prolapse: the bladder bulging from the front wall of the vagina
- Uterine prolapse: the womb bulging or hanging down into the vagina
- Vault prolapse: after surgery to remove the womb, the top of the vagina may sag down, causing a vault prolapse
- Posterior wall prolapse: the bowel bulging into the back wall of the vagina
There are numerous reasons for why a pelvic floor prolapse can occur, including:
- Pregnancy and childbirth
- Naturally ageing
- Having a hysterectomy
- Having a job which requires a lot of heavy lifting
- Having a medical condition which causes a long-term cough and strain
Ideal candidates for vaginoplasty surgery
All patients should be in good health and have realistic expectations about what can be achieved with vaginoplasty surgery.
We do not treat patients below the age of 18 years of age.
Healing is better if patients refrain from or quit smoking.
Vaginoplasty is ideal for those women who have experienced vaginal childbirth resulting in a loose vaginal wall, and wish to go back to pre-birth condition. The added width after the damage may also decrease sexual gratification affecting both partners. The procedure can help tighten the vaginal canal to solve the problem.
If you have the following symptoms, you may have pelvic floor prolapse and may wish to consider pelvic floor repair.
- Feeling as if something is coming down your vagina, or as if something is dragging
- Your pelvis and lower tummy area feels heavy
- You can see or feel a lump coming out of your vagina
- You have problems or feel discomfort when urinating
- You experience numbness or discomfort during sex
- You are experiencing stress urinary incontinence
In some instances, you may have pelvic floor prolapse but experience none of the above symptoms.
Those who wish to have pelvic floor repair with Centre for Surgery will need to be at least 18 years old, be in good physical and mental health, and have reasonable expectations about what the procedure can achieve.
Prior to undergoing surgery, you will meet with your surgeon who will assess your suitability. You may be more suitable for other procedures such as laser treatment of pelvic organ prolapse or tension-free vaginal tape.
Surgical techniques used in vaginoplasty surgery
The procedure is performed with the patient under general anaesthesia to make the experience pleasant and comfortable throughout. Vaginoplasty provides aesthetically pleasing results by enhancing and strengthening the vulva-vaginal structure.
The procedure involves removing excess vaginal tissues and tightening the muscle walls for an enhanced vaginal area.
The surgical method used for your pelvic floor repair will vary depending on which type of prolapse you have.
Surgery is generally performed under a general anaesthetic. At Centre for Surgery, this is known as ClearSleep™, which does not use any breathing machines or tubes, and allows you to wake up quicker following the procedure.
Surgery will generally involve making an incision into the wall of the vagina. An anterior prolapse will involve an incision at the front wall of the vagina, while a posterior prolapse will involve an incision at the centre of the back wall. Both incisions will start at the entrance and finish near the top wall of the vagina. Dissolvable stitches are then used to strengthen the weakened wall.
Those who have already been through menopause or do not wish to have any more children may wish to undergo a hysterectomy, which involves removing the womb. This helps to reduce pressure on the walls of the vagina and reduces the likelihood of the prolapse returning.
Recovery after vaginoplasty
Following the procedure, swelling and discomfort around the treated area is very common. Pain medication can be taken to ease it. The patient can go back to normal activities almost immediately, however, strenuous physical activities should be avoided for at least 4 weeks. Abstain from sexual intercourse for 4-6 weeks to allow the surgical area to heal fully.
The procedure is not going to improve your sex life overnight. You will achieve a good quality of life, improvement in vaginal comfort and maybe even new sensations. However, the results truly depends on an individual so it is important to have a realistic expectation.
Following the pelvic floor repair procedure, you may be given a drip to give you fluids, and you may need a catheter (a thin plastic tube) into your bladder. This should be removed after 24 to 48 hours. You may also have a gauze inside the vagina which will act as a bandage to help reduce any bleeding. This will be removed after the first 24 hours.
It is normal to experience some light bleeding or discharge after the procedure, which may last up to three to four weeks. It is recommended that you use sanitary pads during this period, rather than tampons.
The stitches used during the procedure will be dissolvable, so you will not have to return to the clinic to have them removed. They will dissolve on their own after a few weeks.
You will have to avoid any strenuous physical exercise for the first few weeks, particularly activities which involve heavy lifting and straining or picking up children. You will also need to avoid swimming during this time period. You will have to avoid any sexual intercourse for about four to six weeks, or until you are completely healed.
You may need to take up to six weeks off work, however, this will vary depending on your type of employment. Your surgeon will be able to give you exact advice on when you can return to work.
You should avoid driving for at least three to four weeks. This will vary from patient to patient; you will need to feel confident about driving and performing emergency stops.
Am I a good candidate for vaginoplasty surgery?Vaginoplasty is ideal for you if you have gone through vaginal child birth resulting in vagina enlargement, and wish to go back to pre-birth condition. The added width may also decrease sexual gratification, and this can be enhanced with the procedure.
How will the procedure help me?Vaginal rejuvenation can help remove the excess vaginal tissues and tighten the vaginal wall to boost self-esteem and increase pleasure during sexual intercourse.
Do I need vaginoplasty or labiaplasty?Labiaplasty addresses the vaginal lips in the opening performed solely to enhance the appearance, whereas, Vaginoplasty addresses the walls on the inside of the vagina performed to tighten the tissues.
How do I prepare for my surgery?Avoid taking aspirin or any blood thinners to avoid bleeding during the procedure.
How is vaginoplasty performed?Vaginoplasty involves removing excess vaginal tissues and tightening the muscle walls for an enhanced vaginal area.
How long does the procedure take for completion?The procedure usually takes an hour or two for completion.
What is the recovery period going to be like?Expect some swelling and discomfort around the treated and pain medication can be taken to ease it. You should avoid strenuous physical activities for at least 4 weeks. Also abstain from sexual intercourse for 4-6 weeks to allow the surgical area to heal fully.
What results can I expect from the procedure?The procedure is not going to improve your sex life overtime. You will achieve a good quality of life, improvement in vaginal comfort and maybe even new sensations. However, the results truly depends on an individual so it is important to have a realistic expectation.
What are the complications associated with the procedure?- Infection and bleeding that can be avoided with a good aftercare routine
- Temporary changes in sensation
Can I opt for the procedure if I have not had children?Despite of the procedure being more suitable for women who have experienced childbirth, people who have not had children can also opt for it depending on the situation.
Will I have to refrain from sexual activities after the vaginoplasty procedure?Yes, you should refrain from sexual intercourse for at least 4 to 6 weeks to allow the treated area to heal fully.
What is pelvic floor prolapse?Pelvic floor prolapse occurs when the pelvic floor becomes weakened, causing organs to slip down and bulge into the vagina.
What causes pelvic organ prolapse?- Childbirth and pregnancy
- Having a hysterectomy
- Having a job that involves heavy lifting
- Medical conditions which make prolapse more likely
What anaesthetic is used during surgery?Centre for Surgery uses ClearSleep™ anaesthetic. This means you will be asleep for the procedure, and you will be unable to feel any discomfort or pain.
What will the recovery period be like?Following the procedure, you may have a catheter into your bladder, which will be removed after 24 to 48 hours
It is normal to experience some light bleeding following surgery. This may last three or four weeks.
During the recovery period, it is recommended that you avoid using tampons and use sanitary pads instead.
How long will I have to take off work?You will have to take around six weeks off work, however, this will depend on what type of work you do. Your surgeon will be able to advise you on exactly when you can return to your job.
When can I drive again?You should avoid driving for three to four weeks. You will need to feel confident in your ability to perform emergency stops before you return to driving.
When can I start exercising again?When can I start exercising again?
When can I resume sexual activities?You will be able to resume sexual intercourse after four to six weeks, or when you are fully healed.