Vaginoplasty by Cosmetic Gynecology expert – Dr.Niveditha Kamaraj
Vaginoplasty encompasses any surgical procedure aimed at constructing or reconstructing the vagina, falling under the category of genitoplasty. Surgical interventions are commonly employed to address pelvic organ prolapse, with one or more surgeries performed to repair the vagina. In cases where malignant growths or abscesses are treated or removed, a vaginoplasty may be necessary to restore normal vaginal structure and function. Additionally, surgery on the vagina is utilized to correct congenital defects affecting the vagina, urethra, and rectum. This can involve addressing issues such as cystocele (protrusion of the urinary bladder into the vagina) and rectocele (protrusion of the rectum into the vagina). Furthermore, vaginoplasty is often conducted to repair trauma- or injury-induced damage to the vagina and its associated structures. Dr. Niveditha Kamaraj, best cosmetic gynecologist at Aakash IVF Hospital, specializes in performing vaginoplasty procedures, ensuring patients receive expert care in the field of gynecological surgery.
What are the types of vaginoplasty?
Intestinal or Sigmoid Vaginoplasty:
- Intestinal vaginoplasty involves creating a neovagina using a portion of the sigmoid colon. Laparoscopic surgery, also known as minimally invasive or keyhole surgery, is commonly used for this. A small section of the colon is removed and rotated down to become the vaginal lining. The surrounding colon is then stitched back together to restore function.
Peritoneal Vaginoplasty:
- Peritoneal vaginoplasty, also known as Luohu surgery, is a procedure that utilizes the peritoneum, the lining of the abdominal cavity, to construct the vagina. Similar to intestinal vaginoplasty, this procedure is typically performed laparoscopically.
McIndoe Vaginoplasty:
- The McIndoe technique differs from peritoneal and intestinal vaginoplasties. Unlike the former, McIndoe vaginoplasty does not require abdominal surgery to establish the vaginal lining.
Vaginoplasty of the Buccal Mucosa:
- This procedure involves using the buccal mucosa, the tissue lining the inside of the mouth, as a neovaginal lining during vaginoplasty. Both the buccal mucosa and vaginal lining hair produce mucus, making the buccal mucosa an ideal choice for this purpose.
Penile Inversion Vaginoplasty:
- Specifically performed for transgender individuals, penile inversion vaginoplasty entails taking skin from the exterior of the penis and inverting it to create the vaginal lining. The penile head is altered to form a clitoris, and the labia majora and minora are fashioned from scrotal skin.
What is the procedure?
The vaginoplasty procedure is a surgical intervention designed to construct or reconstruct the vagina and vulva, transforming existing genital tissue. Under general anesthesia, the surgeon begins by preparing the tissue, often sourced from the penis and scrotum. Depending on the chosen technique, such as penile inversion or intestinal vaginoplasty, the tissue is reshaped and adjusted to form the neovagina, clitoris, labia minora, and labia majora. The surgeon may use laparoscopic methods for certain procedures, ensuring minimal invasiveness and smaller incisions. Following the tissue reshaping, grafting or rotation may be employed, such as using a portion of the sigmoid colon in intestinal vaginoplasty. Precise suturing is then performed to create the desired structure before closure.
When can I resume physical activities after vaginoplasty?
It is advisable to avoid physical activity and heavy lifting for the first six weeks post-surgery. Gradual resumption of all activities is expected by the six-week mark.
What is the recovery period for vaginoplasty?
The overall recovery period for vaginoplasty ranges from 12 to 18 months.
To undergo any reconstructive surgery, book your appointment with the best doctor, Dr. Niveditha at Aakash Hospital in Vadapalani, Chennai. She is recognized as a leading expert in cosmetic gynecology, offering top-notch medical care.
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