Vaginal Wall Plastic Surgery – When is it Necessary and How Does it Happen?

As time passes, not only the skin and facial muscles can lose their elasticity, but also the muscles and tissues that make up the vaginal wall. This process can lead to not only aesthetic issues but also serious health challenges. Vaginal wall plastic surgery, also known as vaginoplasty, may be the solution to the problems mentioned above, during which the condition of the vaginal wall is improved.

The goal of vaginal wall plastic surgery can be to restore the health of the bladder and rectum, as the weakening of the vaginal wall can lead to various functional disorders. Female anatomy and the effects of childbirth play particularly important roles in the condition of the vaginal wall. During childbirth, the vaginal wall is subjected to significant stress, so many women may experience unpleasant symptoms after giving birth, such as urinary incontinence or difficulties with bowel movements.

Vaginal wall plastic surgery is a complex procedure aimed at restoring the health of the female pelvic floor, reducing complaints, and improving sexual functions. The procedure is usually performed after childbirth or during menopause, but symptoms can appear at any time. If the surgery is not performed, the problems may worsen, and the vaginal wall may sag permanently.

Indications for Vaginal Wall Plastic Surgery

The main indication for vaginal wall plastic surgery is the weakening of the vaginal wall, which can cause functional problems for the bladder and rectum. In the case of anterior vaginal wall weakening, the bladder and urethra may descend, resulting in urinary incontinence. The most common phenomenon is urine leakage, which occurs during sneezing, coughing, or physical activity. In more severe cases, the descent of the vaginal wall may be so pronounced that the woman can feel a bulge at the vaginal opening.

In the case of posterior vaginal wall weakening, women report bowel movement difficulties. The condition caused by the dilated posterior vaginal wall can lead to difficulties in bowel movements and painful complaints. Thinning of the vaginal tissues can also lead to sexual problems, as discomfort may arise during intercourse.

These problems are particularly common during menopause or after childbirth, but they are not exclusively linked to these stages. Before performing vaginal wall plastic surgery, gynecologists recommend trying pelvic floor strengthening exercises, as these methods may help in the initial stages. However, if symptoms do not improve, surgery may provide an effective solution for addressing the complaints.

Preparation and Procedure of the Surgery

Before vaginal wall plastic surgery, a thorough gynecological examination is mandatory, which includes an internal examination and a Pap smear. Laboratory tests and possibly a consultation with an internist may also be necessary. If incontinence is present, a urologist may need to be involved. Based on the examinations, the specialist determines the date of the surgery, and an anesthesiologist’s evaluation is also required.

The surgery is usually performed under anesthesia, and the patient must be admitted to the hospital the day before. Vaginal wall plastic surgery can be performed on the anterior or posterior wall, depending on where the problem occurs. In anterior wall plastic surgery, an incision is made on the vaginal wall, where the elongated part is supported and reinforced. After this, excess tissue is removed, and the wound is closed with stitches.

In posterior wall plastic surgery, tissue is removed from the back part of the vaginal opening, and the pelvic floor muscles are stitched together, thereby narrowing the dilated vagina. The goal of both procedures is to restore the anatomical position and eliminate complaints.

Post-Surgery Care and Recovery

After vaginal wall plastic surgery, patients typically spend 3-4 days in the hospital. Recovery usually takes 3-4 weeks, during which it is advisable to avoid physical exertion, such as lifting heavy objects. To prevent inflammatory diseases, it is recommended to refrain from sexual activity for at least two weeks, as well as to avoid tampon use and vaginal douching.

At the end of the recovery period, a gynecological follow-up examination is necessary 4-6 weeks after the surgery. To prevent the recurrence of complaints, pelvic floor exercises are recommended for patients, which help strengthen the pelvic floor muscles.

Vaginal wall plastic surgery is thus a procedure that can bring significant improvements to women’s quality of life, but proper medical preparation and aftercare are also essential for successful recovery.