واژینوپلاستی چیست؟ بررسی جامع جراحی تنگ‌کردن واژن

واژینوپلاستی یک روش جراحی ترمیمی و زیبایی در حوزه جراحی زنان است که با هدف بازسازی، تقویت و تنگ‌کردن کانال واژن انجام می‌شود. این جراحی معمولاً برای اصلاح شل‌شدگی واژن ناشی از زایمان طبیعی، افزایش سن، تغییرات هورمونی یا عوامل ژنتیکی به کار می‌رود. در واژینوپلاستی جراح، عضلات و بافت‌های ضعیف‌شده دیواره واژن به یکدیگر نزدیک کرده و بافت اضافی را حذف می کند.

از نظر پزشکی، واژینوپلاستی تنها یک عمل زیبایی محسوب نمی‌شود، بلکه در بسیاری از موارد می‌تواند به بهبود عملکرد فیزیکی واژن کمک کند. زنانی که دچار کاهش حس در حین رابطه جنسی، ورود هوا به واژن، یا احساس ناپایداری عضلانی هستند، ممکن است پس از این جراحی بهبود قابل‌توجهی را تجربه کنند. همچنین در برخی بیماران، واژینوپلاستی می‌تواند به افزایش کنترل عضلات کف لگن و بهبود کیفیت زندگی کمک نماید.

این جراحی معمولاً به‌صورت انتخابی انجام می‌شود و نیازمند ارزیابی دقیق وضعیت جسمی بیمار، سابقه زایمان، سلامت عضلات کف لگن و انتظارات فرد از نتیجه عمل است. Informed decision-making based on scientific information plays an important role in achieving safe and satisfactory results. 600;">

How is vaginoplasty performed?

Vaginoplasty is a planned and structured surgery that aims to strengthen the internal muscles of the vagina and restore the natural anatomy of this area. The method of performing this operation has general and medical standards. But according to the condition of the patient, the surgeon may change the surgical method.

Vaginoplasty steps

At first, the patient undergoes a detailed examination of the pelvis and evaluation of the pelvic floor muscles. After preparing and disinfecting the surgical area, incisions are made in the back wall of the vagina. Then the surgeon closes the weakened muscles of the vagina. After this stage, he strengthens them using specialized stitches. Then, the extra vaginal tissue is removed and the vaginal mucosa is carefully restored. The purpose of these steps is to restore the natural diameter and strength of the vaginal canal without harming its physiological functions.

Duration of vaginoplasty surgery

Duration of vaginoplasty surgery is usually between 60 and 90 minutes. This time depends on factors such as the severity of muscle prolapse, simultaneous performance of other reconstructive surgeries (such as perinorrhaphy) and the surgeon's technique. In most cases, the patient is discharged the same day or at least one night after the operation.

Type of anesthesia in vaginoplasty

Vaginoplasty is usually performed under general anesthesia or spinal anesthesia. The type of anesthesia is chosen based on the physical condition of the patient, the anesthetist's opinion and the surgeon's preference. In general, in both methods, the patient does not feel any pain during the procedure.

Who are suitable candidates for vaginoplasty?

Vaginoplasty is not recommended for all people, and choosing the right candidate plays an important role in the safety of surgery and satisfaction with the final result. The doctor recommends this surgery for women who have severe vaginal laxity. Note that these conditions have a negative impact on the person's quality of life, and the doctor decides to perform this surgery after examining these conditions. Accurate assessment of the patient's physical condition, medical history, and expectations is a prerequisite for making the right decision to perform this procedure.

Vaginoplasty after delivery

One ​​of the most common reasons for performing vaginoplasty is the changes made in the vagina after natural childbirth. Excessive stretching of vaginal muscles and tissues during childbirth can reduce the strength of this area. Women who, after a few months of giving birth, still have considerable laxity despite performing pelvic floor strengthening exercises, may be good candidates for vaginoplasty. Performing this surgery is usually recommended after the end of the breastfeeding period and the stabilization of the hormonal status.

Vaginoplasty due to aging

Increasing age and decreasing estrogen levels can lead to weakening of the vaginal muscles and reducing the elasticity of tissues. These changes are sometimes accompanied by a feeling of vaginal dilation, decreased sensation in sex, or functional discomfort. In women who have these changes and are in good general health, vaginoplasty can help improve the structure of the vagina, especially when non-surgical treatments have not responded adequately. and do not have uncontrolled diseases such as severe diabetes, coagulation disorders or active genital infections. It is also necessary to perform a pelvic examination, check the pelvic floor muscles, and assess the patient's expectations before surgery. Having realistic expectations and full knowledge of the operation process and its results is considered one of the most important criteria for choosing the right candidate.

Vaginoplasty benefits

Vaginoplasty, in addition to the aesthetic aspect, is a surgery with specific functional goals that if the patient is correctly selected and performed In principle, it can bring significant benefits to a person's physical and mental health. These benefits are usually revealed gradually and after the complete recovery period.

Improving the quality of sexual relations

One ​​of the most important advantages of vaginoplasty is increasing the strength of the vaginal canal and improving muscle contact during sex. Strengthening the internal muscles of the vagina can help increase sexual sensation and satisfaction in some women. In some cases, vaginal relaxation can lead to reduced irritation or discomfort. In this situation, this surgery is considered an efficient option.

Increasing self-confidence

Vaginal structural changes in some women can lead to a decrease in self-confidence, especially in marital relationships or intimate situations. Correcting these changes through vaginoplasty, if the patient is satisfied with the result, may create a better feeling about the body. This improvement in the mental image of the body can indirectly have a positive effect on a person's quality of life and relationships.

correction of structural changes in the vagina

Vaginoplasty helps to correct laxity caused by childbirth, aging or genetic factors by strengthening the internal muscles and reconstructing the structure of the vagina. This structural modification can improve the normal function of the vagina and reduce some discomforts associated with abnormal dilatation.

complications and possible risks of vaginoplasty

Vaginoplasty, like any other surgery, despite being performed by an expert surgeon and following medical standards, can have possible complications. be accompanied A realistic awareness of these risks helps the patient make an informed decision and have reasonable expectations of surgical outcomes. The severity and probability of complications depend on factors such as the surgical technique, the general health status of the patient, and compliance with pre- and post-operative care.

Short-term side effects

Short-term side effects usually occur in the first days or weeks after surgery and are often temporary. These side effects may include mild to moderate pain, swelling, bruising, and a feeling of tightness in the vaginal area. In some patients, mild discharge or bleeding is also observed, which is usually controlled with standard care. The occurrence of infection or delay in wound healing is rare, but requires medical follow-up.

Long-term complications

Usually, long-term complications of vaginoplasty are rare. The reason for these complications is mostly related to not performing the surgery correctly. Post-operative care also plays an important role in preventing these complications. These complications can include persistent pain, excessive vaginal tightness, changes in the sensation of the area, or dissatisfaction with the functional outcome. In rare cases, the need for reconstructive surgery may arise.

Ways to reduce the risk of complications

Reducing the risk of vaginoplasty complications requires choosing an experienced surgeon, performing a complete preoperative evaluation and strictly following medical recommendations. Quitting smoking, controlling underlying diseases, taking prescribed medications correctly and avoiding heavy activities during the recovery period play an important role in safe recovery and reducing complications. Also, regular follow-up after surgery helps to diagnose and manage potential problems early.

care before vaginoplasty

Proper preparation before vaginoplasty plays an important role in reducing complications, speeding up the healing process and achieving desired results. Compliance with medical recommendations before surgery helps the surgeon to perform the operation with higher safety and optimize the patient's physical conditions for surgery.

Necessary tests and investigations

Before performing vaginoplasty, it is necessary to perform a complete pelvic examination to assess the state of the pelvic floor muscles and the structure of the vagina. Also, routine blood tests, checking the coagulation status and assessing the patient's general health are performed. If there is a history of underlying diseases, consultation with an anesthesiologist or relevant doctor may be recommended. Ensuring the absence of active infection in the genital area is one of the main prerequisites for safe surgery.

Drug and nutritional tips

The patient must inform the doctor about all the medications and supplements they are taking before the surgery. It is usually recommended to stop taking blood thinners and some herbal supplements that increase the risk of bleeding a few days before the procedure. In terms of nutrition, having a balanced diet and drinking enough fluids helps to improve the general condition of the body. In most cases, it is necessary to fast in the hours before surgery according to the doctor's order.

care after vaginoplasty

Following care after vaginoplasty plays a decisive role in the correct repair of tissues, reduction of complications and durability of surgical results. Adhering to medical recommendations during this period helps the patient experience a safer and more predictable recovery process.

Vaginoplasty recovery period

The initial recovery period usually lasts a few weeks. During this period, the feeling of mild pain, swelling or limited discharge is normal and gradually decreases. Regular use of prescribed drugs, hygiene of the surgical area and attendance at follow-up visits are necessary to evaluate the healing process. Most patients can resume light daily activities after a few days, but complete recovery of the tissues requires more time.

Activity and sexual restrictions

In the first weeks after vaginoplasty, avoiding heavy activities, lifting heavy objects and vigorous sports are recommended. will be Vaginal intercourse is usually prohibited until the tissues are fully healed, which is usually around 6 to 8 weeks. Compliance with these restrictions is very important to prevent the opening of stitches and reduce the risk of complications.

Time to return to normal life

Complete return to normal life depends on the physical condition of the person, the severity of the surgery and compliance with care. In most cases, the patient can return to normal activities after a few weeks, but the final results of the surgery are usually known after the complete recovery period. Regular follow-up with the doctor helps ensure proper recovery and maintenance of surgical results.

Permanence of vaginoplasty results

Several factors are involved in the durability of vaginoplasty results. Proper surgery by an expert surgeon and aftercare can prolong the longevity of this surgery. This surgery is performed by reconstructing and strengthening the vaginal muscle structure, but maintaining its results requires attention to the physiological conditions of the body and the individual's lifestyle.

Factors affecting the durability of the results

The durability of the vaginoplasty results is influenced by factors such as the quality of the pelvic floor muscles, the patient's age, hormonal status, the number of previous births and the amount of pressure It is inserted into the pelvic area. Following the recommendations after the operation, avoiding heavy activities during the recovery period and maintaining a balanced weight can help to maintain the results. Also, strengthening the pelvic floor muscles after full recovery has a supporting role in maintaining the established structure in some patients.

Effect of repeated pregnancy on vaginoplasty

Pregnancy and especially natural childbirth can affect the results of vaginoplasty. Re-stretching of vaginal muscles and tissues during pregnancy and childbirth may reduce some of the effects of surgery. For this reason, in women who intend to conceive again, it is usually recommended to postpone vaginoplasty until after the completion of pregnancies. In case of pregnancy after this surgery, the amount of changes depends on individual factors and the type of delivery.

Frequently Asked Questions

Conclusion

Vaginoplasty is one of the reconstructive surgery methods in the field of women's health, which is performed with the aim of strengthening the internal muscles of the vagina and reconstructing its structure. This surgery is usually used to correct laxity caused by natural childbirth, ageing, or physiological changes, and if the patient is selected correctly, it can bring acceptable functional and structural results. The decision to perform vaginoplasty requires full knowledge of the surgical process, its benefits, limitations, and possible complications. Accurate assessment of the general health status, examination of the pelvic floor muscles and having realistic expectations of the result of the operation are considered to be key factors in achieving long-term satisfaction. This surgery is most effective when it is performed by an experienced surgeon and based on scientific standards. Adhering to care before and after vaginoplasty plays an important role in reducing complications and maintaining surgical results. Adhering to medical recommendations during recovery, avoiding heavy activities and paying attention to the overall health of the body helps in proper tissue repair. It should also be kept in mind that factors such as repeated pregnancy or increased pressure on the pelvic floor muscles can affect the durability of the results. Ultimately, vaginoplasty is a personal and informed choice that should be made based on actual need, medical conditions, and expert advice. Access to accurate and scientific information plays an important role in making the right decision and achieving a safe and satisfactory result. href="https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty" target="_blank" rel="nofollow noopener">Vaginoplasty from the Cleveland Clinic perspective