Vaginoplasty & Perineoplasty

WHAT IS VAGINOPLASTY?

Vaginoplasty refers to the posterior reconstruction of the vaginal vault and perineum, making the vagina smaller and pelvic floor stronger to assist in achieving the youthful gratification of sexual activity. As we get older our bodies get worn, torn, stretched and some of our youthful resilience is reduced. The same happens to the vaginal tissues and pelvic floor, especially after pregnancy. The vaginal vault and pelvic floor are stretched, dilated, pelvic muscles become too relaxed, loose strength and tone, and you loose some or all support and control. The vaginal vault becomes stretched and it looses the dilating effect during sexual intercourse and you no longer have the ability to contract, squeeze and relax your vaginal muscles at will. Vaginoplasty typically tones vaginal muscle and strengthens the pelvic floors, resulting in greater contraction strength and control, thereby enhancing the sexual experience for the man and the woman.

WHAT IS PERINEOPLASTY?

Perineoplasty corrects a small vaginal opening as well as a large gaping opening.

HOW ARE THE PROCEDURES PERFORMED?

The surgery is a standard gynecologic vaginal procedure where the vaginal vault and pelvic floor are made smaller, and the foundation muscles of the vagina are made stronger. The G-spot which lies in the anterior proximal vagina is not affected by this procedure. Also at this time another problem that can make sex very uncomfortable can be corrected. Some patients may have an enterocele or rectocele, which is a hernia of the bowel or rectum in the vaginal vault which may protrude via the vaginal opening. During vaginoplasty this hernia can be repaired, the pain eliminated, and satisfaction during intercourse restored.

WHAT ARE THE RISKS AND RECOVERY TIME?

Patients may have one to two weeks of down time. They may feel a deep ache for the first few days, and there is no tampon use or intercourse for eight weeks. Depending on the amount of tightening performed, some patients may be instructed to use dilators. There are very minimal risks that come with this procedure.