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Vaginal Repair (Rejuvenation Surgery)

Repair (Rejuvenation Surgery) refers to the surgical tightening and reconstruction of vaginal muscles and tissues that have become lax, making the vaginal canal smaller and enhancing muscle contraction.

Causes:



• Prolonged sexual activity
• Vaginal childbirth
• Multiple childbirths
• Aging
• Weight fluctuations (obesity or being underweight)
• Activities that strain the abdominal muscles, such as frequent heavy lifting



Treatment Options:

️

Non-Surgical Treatments:

Vaginal tightening can be achieved through Kegel exercises. Start with 10 repetitions per day and gradually increase to 50-100 times daily, or as frequently as possible.

️ Surgical Treatments:

• Mesh Implant Surgery:

This procedure involves attaching or implanting a supportive mesh in the vaginal wall to correct bladder prolapse and rectal prolapse.

• A-P Repair (Anterior-Posterior Vaginal Repair):

This involves surgical correction of both the anterior and posterior vaginal walls, removing excess tissues that protrude into the vaginal canal, and tightening the bladder and rectum to correct prolapse.

• Laser Surgery:

Laser techniques remove excess tissue from the posterior vaginal wall to reduce the vaginal canal size. Advantages: Minimizes blood loss, reduces tissue trauma, causes less pain, and offers faster recovery.

Pelvic Organ Prolapse Conditions:

• Anterior Vaginal Wall Prolapse (Cystocele):

This occurs when the bladder drops and presses against the vaginal wall, causing pelvic pressure or a bulge at the vaginal opening. This is corrected with Anterior Vaginal Repair.

• Posterior Vaginal Wall Prolapse (Rectocele):

The rectum or lower intestines bulge into the vaginal wall, leading to pelvic pressure, vaginal bulging, and constipation. This is treated with Posterior Vaginal Repair.

• Combined Anterior and Posterior Vaginal Wall Prolapse:

When both the anterior and posterior walls are prolapsed, it is treated with A-P Repair (Anterior-Posterior Vaginal Repair).

Contraindications:

• Diabetic patients are not suitable candidates for repair surgery due to a higher risk of wound infection and delayed healing.

• Individuals planning to travel abroad within a week or those with frequent travel obligations should avoid surgery, as the first week post-operation poses risks of wound dehiscence (splitting), infection, and tearing.

Possible Complications from Repair Surgery:

• Excessive blood loss
• Risk of infection
• Perforation of the bladder wall or intestines

Post-Operative Care After Repair Surgery:

• Abstain from sexual intercourse for 2 months.
• Avoid exercising for 1 month.
• Do not lift heavy objects.
• Minimize movement and walking to prevent wound separation and inflammation. Get plenty of rest.
• Eat as usual but avoid alcohol consumption.
• Clean the surgical area with clean water morning and evening, and after every urination or bowel movement.

Labiaplasty

Labiaplasty is a cosmetic surgical procedure that involves altering the size or shape of the labia minora (the inner vaginal lips) or, less commonly, the labia majora (the outer vaginal lips). This procedure is typically performed to reduce the size of the labia, create symmetry, or address discomfort caused by enlarged or asymmetrical labia.

Reasons for Labiaplasty:

Physical Discomfort:

• Irritation or pain during physical activities like cycling, running, or intercourse.
• Discomfort when wearing tight clothing, such as leggings or swimsuits.

Aesthetic Concerns:

• Desire for a more symmetrical or "neater" appearance of the labia.
• Dissatisfaction with the appearance of the labia due to genetics, aging, or childbirth.

Functional Reasons:

• Difficulty maintaining hygiene, leading to infections.
• Chafing or pulling sensations during movement.
• Emotional or Psychological Reasons:
• Boosting self-confidence and body image.
• Reducing feelings of self-consciousness in intimate situations.

Recovery and Aftercare:

Downtime:

Most patients can resume light activities within a few days but should avoid strenuous activities and sexual intercourse for 4-6 weeks.

Swelling and Bruising:

Common and usually subsides within 2-3 weeks.

Pain Management:

Mild discomfort can be managed with prescribed painkillers and ice packs.

Hygiene:

Keeping the area clean and dry is essential. Patients are often advised to wear loose clothing to prevent irritation.Add

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