Vaginoplasty

About Vaginoplasty

Vaginal laxity is a common concern after vaginal childbirth, especially after multiple deliveries or large babies, and can also follow aging or significant weight change. Symptoms include reduced sensation during intercourse, awareness of looseness, and sometimes urinary or pelvic floor symptoms. Vaginoplasty addresses the structural component by tightening the posterior vaginal wall and supporting muscles.

The procedure involves removing a triangular strip of mucosa from the back wall of the vagina, repairing the underlying levator muscles in the midline, and closing the mucosa over the repair. Vaginal tightening surgery is often combined with perineorrhaphy to rebuild the perineal body. The end result is a tighter canal and a stronger perineum, while preserving normal anatomy and lubrication.

Cosmetic gyne surgery is most successful when realistic. Vaginoplasty improves the structural component of laxity and often improves sensation during intercourse, but it is not a guarantee of any particular sexual outcome. We discuss this honestly at consultation. Pelvic floor physiotherapy is also part of our overall plan, since muscle tone responds to exercise as well as surgery.

During consultation Dr. Agarwal takes a careful history, performs a private examination, and discusses combined procedures such as labiaplasty or clitoral hood reduction where appropriate. Vaginal repair work in this area carries specific risks that are explained in detail, and women are encouraged to take time before deciding. Surgery is never recommended on the same day as the first consultation.

Vaginoplasty is performed under spinal or general anaesthesia in our day-care theatre. Surgery takes 60 to 90 minutes. Mild discomfort, swelling, and a small amount of discharge are expected for two to three weeks. Most patients in Lucknow return to desk work within five to seven days. Intercourse, tampons, and vigorous exercise wait six to eight weeks until full healing is confirmed.

What to expect

• Private consultation with female chaperone available
• Discussion of combined labiaplasty or hood reduction
• Spinal or general anaesthesia
• 60 to 90 minute day-care procedure
• Posterior wall mucosal excision and levator repair
• Optional perineorrhaphy for perineal body rebuild
• Reviews at one week, one month, three months, and six months

Recovery

• Same-day or next-day discharge
• Mild discomfort and discharge for two to three weeks
• Cold packs and prescribed analgesia for the first 48 hours
• Avoid lifting heavy objects for four weeks
• No tampons, intercourse, or vigorous exercise for six to eight weeks
• Pelvic floor exercises started after clinical clearance