Vaginoplasty

Vaginoplasty Surgery – Comprehensive Guide

What is Vaginoplasty?

Vaginoplasty is a surgical procedure performed to correct vaginal laxity and widening. Functional and aesthetic improvement is achieved by narrowing the vaginal canal and entrance.

When is it Performed?

• Feeling of vaginal laxity
• Air entering during intercourse
• Decreased sexual satisfaction
• Postpartum deformation
• Pelvic floor weakness

Purpose

It aims to tighten vaginal muscles and tissues, strengthen pelvic support structures, and improve function.

How is it Performed?

• Excess vaginal tissue is removed
• Muscles are brought closer together (plicated)
• Vaginal canal is narrowed
• Perineal repair is added if necessary

Anesthesia and Duration

It is usually performed under general or spinal anesthesia. The operation duration is approximately 45–90 minutes.

Who is it Suitable For?

• Those experiencing postpartum laxity
• Those with sexual function complaints
• Those with pelvic floor weakness

Who is it Not Suitable For?

• Those with active infection
• Those with serious medical problems
• Untreated pelvic organ prolapse

Postoperative Period

• Discharge on the same day or the next day
• Sexual intercourse is restricted for 4–6 weeks
• Heavy lifting is avoided
• Hygiene is important

Advantages

• Increased vaginal tightness
• Improved sexual satisfaction
• Aesthetic and functional benefits

Risks

• Infection
• Bleeding
• Excessive narrowing (dyspareunia)
• Rare recurrence

Alternatives

• Pelvic floor exercises
• Laser/radiofrequency treatments (in mild cases)

Clinical Reality

Vaginoplasty has a high satisfaction rate in suitable patients, but correct indication and technique are crucial.

Conclusion

Vaginoplasty is an effective surgical option for treating vaginal laxity and functional problems. Personalized planning is required.