Reconstructive vaginal surgery refers to correcting any abnormal anatomy of the female genital track resulting from trauma, childbirth, or previous surgery that failed to accomplish its original goal. It also refers to vaginoplasty, that is the tightening of the birth canal that has been distended or stretched at the time of childbirth. This leads to lack of sensation during intercourse, bladder leakage, passage of air through the vagina and inability to retain tampons.
If you are considering Connecticut reconstructive vaginal surgery, consult with a qualified physician as soon as possible. An experienced doctor will be able to help you determine if this procedure is right for you.
The most common Connecticut reconstructive surgery is vaginoplasty, primarily upon women who have given birth to several children. Some women have had previous unsuccessful surgeries while others may never have experienced childbirth but have a significant vaginal floor hernia, called a rectocele, which results in the same lack of feeling.
Other women may have perineal laxity or scarring, Revision of previous labia minora reduction which resulted in irregular edges, holes or fistulae in the labia, insufficient removal of tissue on one or both sides, the failure to address excess prepuce above a labia reduction, and alleviation of pain from a deep scar. Lastly, hymenoplasty, or reconstruction of a torn hymen, is undertaken primarily for cultural reasons. These are among the most common reconstructive vaginal surgeries that occur in Connecticut.
Risks tend to be minimal with surgical reconstruction. In all instances, there has been previous scarring which can negatively impact the healing process and may result in changes in circulation. There is the increased risk of breakdown of the revision, poor healing, and an undesirable result. Patients must be made aware of this prior to any surgery.
Externally, there may be too much tightening over the clitoral hood which can cause discomfort with sexual arousal, too much removal of the clitoral hood leaving the clitoris exposed to constant irritation, not enough or too much removal of labially revised tissue, or the breakdown of the repair with edge separation or an increase in discomfort.
The revision of a vaginoplasty runs the risk of entering the underlying rectum due to scarring, over or under correction of the internal vaginal diameter, and perineal scarring which can lead to entrance dyspareunia or painful penetration with intercourse.
In experienced hands, the overall risk for all the above complications of Connecticut reconstructive vaginal surgery occurrences is under two percent.
The recovery time for Connecticut reconstructive vaginal surgery depends upon the nature of the surgery and the patient’s willingness to comply with her postoperative instructions. It also depends upon a patient’s inherent constitution. Some women have minimal discomfort and are back to their normal post-op activities quickly while other require lots of medications and two or three times the length of time it generally takes to recover.
The recovery time for hymenoplasty is about two to three days; labia reduction five to seven days; and vaginoplasty with or without a labiaplasty seven to ten days. The post-operative instructions for each of these procedures is different, as are the medications. With all procedures, the final functional result can be realized in six weeks. The final cosmetic results, however, may take up to three months.
It is unfortunate that virtually all external procedures are not covered by insurance. Even traumatic injury, birth injury, congenital anomalies, or previous procedures resulting in a poor outcome are all viewed as cosmetic and are not paid for by insurance companies. Occasionally, vaginal repairs may be covered since the internal hernia, called a rectocele, is covered.
Vaginoplasty is a modification of a rectocele repair and will be covered by an individual’s carrier. Some offices offer payment plans by outside loan companies, but it is important to be aware the interest rates may be very high. Rates depend upon an individual’s income, credit score, and length of time they plan to pay off the loan. Other alternatives are the use of a credit card or a personal loan from a friend or family member. Unless an individual is prepared to pay for the procedure up front, it is recommended to defer Connecticut reconstructive vaginal surgery until they are financially capable of doing so.
Any repair of external damage will greatly enhance a woman’s self-esteem and eliminate any pain she experienced as a result of the cause of her discomfort. For instance, a poorly healed episiotomy which causes painful penetration during intercourse can be revised to change her from reluctance to have sex to begin to experience the pleasure of intimacy.
A vaginal tightening procedure, which decreases the inner and outer vaginal diameters to increase friction can have a major impact upon sexual gratification for both partners, although this procedure is always done for the patient. Urinary incontinent, if present, will also improve. There will be no need for constantly wearing pads, limiting sports activities, or experiencing embarrassing moments of leakage. There are many benefits of reconstructive vaginal surgery in Connecticut that an individual should consult with a doctor to be aware of.