Dr Kamal Kumar

Vaginoplasty: What to Know?

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Vaginoplasty is a surgical procedure that helps repair or construct a vagina. It helps treat several medical problems, which include vaginal injury during childbirth and pelvic floor disease complications (loss of bladder control, urinary incontinence, etc.). It also helps create a transgender vagina, which allows individuals to achieve their preferred gender identity.

What happens before vaginoplasty?

Before undergoing vaginoplasty, these tests may include:

  • Physical exam: helps your doctor assess your health and learn more about your medical history.
  • Your doctor explains about risks, benefits, and postsurgical care requirements.
  • Your doctor will recommend lowering your risk of complications
  • For transgender women who are undergoing vaginoplasty for gender affirmation, specific pre-operative requirements like genital hair removal are performed

What happens during vaginoplasty done for childbirth injuries?

  • Removal of extra skin
  • Uses stitches to secure loose tissue in part or the full depth of your vagina
  • Reduces the opening size of the vagina

What happens during vaginoplasty done to repair congenital disabilities (an issue you’re born with)?

  • Creates a functional vagina
  • Removes excess tissue or abnormal structures
  • Prevents blood from overflowing or pooling during menstrual cycles

What happens during vaginoplasty for gender affirmation surgery?

During a vaginoplasty for gender affirmation surgery, the male external genitalia is partially removed and reconfigured. The skin of the penis and scrotum is removed and used to create a vaginal canal and labia.

Recovery:

Recovery takes a few weeks to a few months, depending on the extent of the surgery. Postsurgical care after vaginoplasty relies on the type of vaginoplasty performed.

When to call the doctor?

  • Blood-soaked dressings can be a sign of excessive bleeding.
  • Infections can cause a fever or yellowish discharge from the incision.
  • Pain that does not respond to medications.
  • Symptoms of blood clots like swelling in the lower leg or groin.
  • Vomiting and nausea

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