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Vaginoplasty is an increasingly sought-after surgical procedure in modern gynaecology, aimed at narrowing and tightening the vagina. This procedure addresses issues arising from vaginal tissue expansion due to various causes such as ageing, vaginal childbirths, frequent sexual intercourse, obesity, and rapid weight loss. Expansion of the vaginal tissue can lead to decreased sexual pleasure for both women and men, inability to achieve orgasm, and other sexual function problems. Vaginoplasty offers both aesthetic and functional improvements by addressing these issues.

Vaginoplasty Procedure

Vaginoplasty is usually carried out under local anaesthesia; however, sedation or spinal anaesthesia may also be preferred depending on patient comfort and the requirements of the procedure. The process involves narrowing and tightening the vagina and typically lasts about an hour.

Procedure Steps

  1. Examination and Planning: Prior to vaginoplasty, a detailed gynaecological examination of the patient is conducted. This examination assesses the extent of vaginal tissue expansion and sagging, as well as the condition of the underlying connective tissue and muscles. This assessment helps in formulating a plan for the procedure.
  2. Surgical Technique: During vaginoplasty, sagged vaginal tissue is carefully removed, and the damaged underlying connective tissue and muscles are repaired. This provides both an aesthetic and reconstructive repair, enabling the narrowing and tightening of the vagina.
  3. Recovery Process: After the procedure, patients can usually return home the same day. Mild pain, discomfort, and bleeding are normal in the first few days. However, if symptoms such as bleeding more than a menstrual period or excessive swelling and sudden dark colour change at the site of the procedure occur, immediate contact with the doctor is essential.

Post-Procedure Care and Recovery

In the post-procedure period, keeping the treated area clean and dry is crucial to reduce the risk of infection and accelerate healing. Showers should be avoided for the first 2 days, and water contact with the treated area should be minimised. Patients can generally resume daily activities after about 3 days, but special attention should be paid to wound cleaning and hygiene during the first week. Prescribed medications must be taken, and soft, clean underwear should be worn. Stitches typically dissolve on their own within 3 weeks. Engaging in sports, swimming in the sea and pools is permitted after 4 weeks. Sexual intercourse should be avoided for at least 6 weeks.

Expected Results and Benefits

When successfully performed, vaginoplasty significantly improves women’s sexual functions. These improvements include increased pleasure during sexual intercourse, enhanced ability to achieve orgasm, and an overall boost in the quality of sexual life. Additionally, the procedure can increase women’s self-confidence and provide both physical and psychological relief.

Vaginoplasty is a complex surgical procedure with significant and positive effects on women’s health and sexual functions. The success of the procedure depends on a careful evaluation by an experienced gynaecologist and a treatment plan customised to the individual needs of the patient. Therefore, women considering vaginoplasty should seek comprehensive information and consult with an experienced healthcare professional.


Vaginoplasty is a surgical procedure designed to narrow and tighten the vagina, offering both functional and aesthetic improvements. It addresses the expansion of vaginal tissue caused by factors like ageing, childbirth, frequent sexual activity, obesity, and rapid weight loss, which can affect sexual satisfaction and function.

Ideal candidates for vaginoplasty are women who experience decreased sexual pleasure, difficulty achieving orgasm, or have concerns about the aesthetic appearance of their vagina due to tissue expansion. This procedure is particularly beneficial for those looking to resolve issues stemming from natural ageing, childbirth, or significant weight changes.

Vaginoplasty is typically performed under local anaesthesia, with the option of sedation or spinal anaesthesia based on patient comfort and procedural requirements. The surgery involves removing excess vaginal tissue, repairing damaged connective tissue and muscles, and ultimately narrowing and tightening the vagina. The procedure usually lasts about an hour.

During the recovery period, patients may experience mild pain, discomfort, and bleeding, which are normal and typically subside within a few days. It’s important to keep the treated area clean and dry to prevent infection. Patients can usually resume daily activities within a few days, but should avoid strenuous activities, including sexual intercourse, for at least 6 weeks to ensure proper healing.

The benefits of vaginoplasty include improved sexual function, such as increased pleasure during intercourse and enhanced ability to achieve orgasm, as well as aesthetic enhancements. The procedure can also boost self-confidence and provide psychological relief by addressing concerns related to the appearance and function of the vagina.

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