| Female Genetalia |
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Female genitalia with age undergo certain changes due to childbirth and menopause. the labia and surrounding vaginal tissue, both external and internal, can change in shape, size and tone. This can be bothersome or even greatly disturbing to some individuals. Some women, despite minimal changes to these areas are unhappy with the appearance or function of their genitalia.
Female Genital Surgery is the fastest-growing area of plastic surgery. Women claim that the aesthetic improvements that these procedures give boost their confidence and improve their self esteem the following are some common genital surgery procedures to correct these problems:
Cosmetic Problems of Vagina
Various other operations to improve the appearance, tone and sensation of the vagina can be performed, such as liposuction of the pubic mound, surgical correction of the clitoral hood (to give better exposure of the clitoris and enhance sexual gratification) and alteration of the position of the clitoris (clitoropexy). The outer lips (labia majora) can also be reduced by liposuction or enlarged by fat transfer.
Before deciding for surgery discuss, all details including surgery and your expectations with our surgeon. Never feel shy in asking queries as our plastic surgeon herself answer them at length. The most suitable patients are physically healthy, emotionally stable women who are realistic about what the surgery can accomplish.
In general, female genital surgery is very safe and complications are rare. But, as with any operation, there are risks. Overnight/day care stay in the hospital is required.
Many women find that the aesthetic improvements that the procedures give boost to their confidence and improve self esteem. Your decision to have female genital surgery is a highly personal one. Not everyone will understand. The important thing is how you personally feel about it. If you have met your goals, then your surgery is a success.
Labial reduction (labiaplasty)
Female genitalia are more or less hidden but larger than average labia may protrude well beyond the outer lips of the vagina causing discomfort when they rub against clothing, or during sport or sex. Women with exceptionally long or unequal lengths of the inner lips (labia minora) can have them aesthetically reshaped.
In Labial reduction (labiaplasty) procedure a wedge-shaped piece of tissue is removed and labium is re-attached in a new position so that the inner lips no longer protrude beyond the outer lips(labia majora).
Urinary Incontinence / Cystocele
Incontinence of urine is a common problem faced by female. It occurs on sudden increase in abdominal pressure, such as from sneezing, laughing, some types of exercise and physical exertion, or coughing.. Pelvic floor muscles keep the bladder (as well as the uterus and rectum) in place but Childbirth stretches the pelvic and vaginal muscles, a drop in estrogen, at menopause weakens these muscles further due to this position of these organs change, urinary control can be greatly compromised. For this reason that stretch and weaken pelvic muscles as well as vaginal tissues result in an increased chance of developing urinary incontinence. This type of urinary incontinence is a chronic (long term) condition.
Vaginal tightening (perineoraphy)
The most common cause of an enlarged vagina is childbirth. However post-menopausal women and those who have been treated for cervical cancer can find their vaginas have enlarged, and may seek vaginal reconstruction. In this procedure a section of vaginal lining is removed and the underlying muscles are repositioned in such a manner that the outer third of the vagina becomes tight. The vaginal opening is reconstructed to reduce in size this enhances sexual gratification. This procedure also help in correction of incontinence.
Rectocele
A rectocele is a bulge of the front wall of the rectum into the vagina. The rectal wall may become thinned and weak, and it may balloon out into the vagina during bowel movements. rectocele occur in women because of weakening of the pelvic support structures That may be due to multiple, difficult or prolonged deliveries, the use of forceps or other assisted methods of delivery, perineal tears, or an episiotomy into the rectum or anal sphincter muscles. In addition constipation and straining with bowel movements, or hysterectomy may contribute to the development of a rectocele..
Rectocele may bea part of a more generalized weakness of pelvic support and may exist along with a cystocele, urethrocele, and enterocele, or with uterine or vaginal prolapse, rectal prolapse, and fecal or urinary incontinence.
Symptoms may be primarily vaginal or rectal. Vaginal symptoms include vaginal bulging, the sensation of a mass in the vagina, pain with intercourse or even something hanging out of the vagina that may become irritated. Vaginal bleeding is occasionally seen. Rectal symptoms include constipation with difficult evacuation with straining. Often this is associated with bulging in the vagina when straining to have a bowel movement. Some women find that pressing against the lower back wall of the vagina or along the rim of the vagina helps to empty the rectum. At times, there will be a rapid return of the urge to have a bowel movement after leaving the bathroom because stool that was trapped in the rectocele may return to the low rectum after standing up. A general feeling of pelvic pressure or discomfort is often present but this may be due to a variety of problems.
Most rectoceles may be identified on a routine examination of the vagina and rectum. . rectocle that are not causing symptoms do not need to be treated. Avoid constipation and prolonged straining by eating a high fiber diet and drinking plenty of fluids.
If symptoms persist even with medical therapy, then surgical repair may be indicated. There are several surgical techniques used to repair a rectocele. A rectocele repair may be performed through the anus, through the vagina, through the perineum between the anus and vagina, or from above through the abdomen. When there is extensive pelvic relaxation and prolapse, the best approach may be a combined repair.
In our center team of gynecologist, surgeon and plastic surgeon give the best advice and treatment of the patient.
Vaginal Fistula
This is a total pathological condition. It may arise due to difficult labor(childbirth) or cancer .In this condition patient may start leaking urine or faeces from vagina. It is very embracing situation if fistula is recto-vaginal type than fecal discharge is a problem, if it is vasico-vaginal or uirthro-vaginal then urine leak is a problem.
Before correction these patient require proper evaluation; site of fistulous connection also determine type of surgery. They may be treated Laparoscopically. In such cases a team of multiple specialists is required.
In our center our surgeon evaluate the patient then decides treatment modality in most of the cases Gynaecologist , advanced Laparoscopic Surgeon & Plastic Surgeon work together to give best results
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