Gynaecological Services

Vaginal and Vulval Surgery

What is vaginal and vulval surgery?

Vaginal surgery, also known as vaginal reconstruction or vaginal rejuvenation surgery, refers to cosmetic and reconstructive surgical procedures that are performed to reshape the appearance of the vagina and/or to tighten the vagina’s muscles. The main goal of vaginal surgery is to reduce pain and improve the size, appearance, functionality, and sensitivity of the vagina.

Vaginal surgery can be recommended for:

  • Cancer patients that have undergone extensive surgery or radiation treatments for cancer of the organs or structures of the urinary tract and/or the reproductive system.
  • Women that are diagnosed with vaginal wall prolapse
  • Women with physical trauma to the vaginal region due to an accident, assault or rape.
  • Women with congenital abnormalities/birth defects that affect the vaginal region.

There are different types of vaginal surgery procedures, including:

  • Vaginoplasty – This is a vagina tightening procedure.
  • Labiaplasty – This is a labia reshaping procedure
  • Vulvaplasty – This is a vulva reshaping procedure

How does it work?

Vaginal surgery is done under local or general anaesthesia, depending on the type of surgery recommended for you. Vaginoplasty is a cosmetic surgery that’s performed under general anaesthesia. It involves the surgeon tightening the vaginal muscles and the vaginal canal. Labiaplasty is performed under local anaesthesia and involves the surgeon trimming labial tissue in order to achieve a new shape. During a vulval surgery, the surgeon will make an incision or incisions in the vulvar and remove a portion of the vulva and some of the lymph nodes in the groin.

What does recovery entail?

Incisions are done and positioned carefully to avoid scarring and minimise discomfort. Dissolvable stitches are used to stitch close the incisions. You may experience tenderness and swelling for a few days after the procedure. It is important that you avoid sex after the procedure to give your body time to fully heal.

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Tebogo, mom and dad