Vaginoplasty

Vaginoplasty: What is it?

How to Help Women After Childbirth with Vaginal Problems?

After childbirth, it is common for women to experience a relaxation of their vaginal muscles, which can lead to concerns such as a tampon falling out. This lack of firmness can also affect sexual life, causing a lack of pleasure during intercourse. Fortunately, there is a solution to tighten the perineal muscles and reduce the width of the vaginal canal: vaginal rejuvenation. By tightening the tissues and strengthening the muscles, this procedure can help correct problems of laxity and sexual dysfunction after childbirth. This can offer better sensations and comfort to the patient. Vaginal lifting strengthens the muscles to allow women to regain sensations during sexual intercourse. It can also treat vaginal gaping.

What is the price of vaginoplasty in Tunisia?

Why have a vaginoplasty in Tunisia?

Vaginoplasty is a reconstructive operation aimed at improving the well-being of women facing problems such as loss of vaginal firmness after childbirth or due to the natural aging of the body. This procedure aims to tighten and strengthen the vaginal muscles, which can have a positive impact on sexual satisfaction and help restore self-confidence and self-esteem. For many women, vaginoplasty offers significant medical benefits. In addition to treating urinary incontinence problems, it can also relieve feelings of heaviness in the pelvic area. By tightening the vaginal muscles, vaginoplasty strengthens the support of the urethra and bladder, thus helping to reduce incontinence symptoms and significantly improve quality of life.

What are the contraindications to a vaginoplasty?

Before undergoing a vaginoplasty, it is crucial to consider all possible contraindications. Indeed, certain medical conditions can make a woman unsuitable for this surgical intervention, such as serious health problems such as uncontrolled heart disease, severe high blood pressure, or coagulation disorders. In addition, pregnant women or those planning a pregnancy in the short term should postpone vaginoplasty, as it can potentially interfere with subsequent pregnancy or childbirth. It is therefore vital to be fully informed and aware of the potential risks before making a decision.

To ensure a successful operation and minimize post-operative risks, it is important to consider certain criteria. First, active or recurrent vaginal infections are a contraindication, as they can be aggravated by surgery or lead to complications. In addition, women suffering from untreated psychiatric problems or unstable mental disorders may not be suitable for this intervention, as they may have difficulty managing the psychological implications of surgery. It is essential to take these factors into account to ensure an optimal outcome for each patient.

Vaginoplasty in Tunisia: What to know before you start

Vaginal rejuvenation is performed by women who have already had their pregnancies. Patients undergo vaginoplasty for vaginal narrowing. The latter may have relaxed following several vaginal deliveries. With Tunisia Destination Santé, you will have your vaginoplasty in a modern clinic that meets usual standards. A blood test will be required before the surgical procedure.

How does a vaginoplasty in Tunisia take place?

Vaginoplasty in Tunisia is performed under local anesthesia and sometimes under general anesthesia. The gynecologist begins by determining the tightening to be performed. Under the skin, the tissues are tightened with strong sutures. Once the vaginal canal is tightened, the mucous membrane is sutured. If there is excess external skin, this can also be reduced for a more aesthetic result.

Post-operative care for a vaginoplasty in Tunisia

Vaginal rejuvenation requires one to two weeks of downtime. The patient may experience pain in the vagina for the first few days. The surgeon will prohibit the use of tampons and sexual intercourse for at least 6 weeks.

Regain sensations during sexual intercourse thanks to vaginoplasty

What are the possible complications after an abdominoplasty?

Many patients also choose to have a labiaplasty at the same time as a vaginoplasty. Other cosmetic surgery procedures such as liposuction, Brazilian butt lift or breast augmentation can also be combined. For any further information, please contact us.

Different types of vaginoplasty

Intestinal or sigmoid vaginoplasty

Intestinal vaginal rejuvenation uses a section of the sigmoid colon to create the neo-vagina. The doctor performs this process using a laparoscopic surgery procedure. Also called minimally invasive or keyhole surgery, this technique only requires a small incision through the skin. During this procedure, a small section of the colon is detached and then redirected downwards to form the vaginal lining. Then, the surrounding colon is sutured to restore its function.

Divergent opinions have been expressed as to the possibility that vaginal resection surgery from intestinal tissue leads to excessive mucus production and an unpleasant odor. Nevertheless, these adverse reactions have not been systematically reported. Some people see the production of mucus by intestinal tissue as an advantage. Healthy vaginal mucosa is also mucus-producing and self-lubricating. The colon segment is also extensible in a way that more closely resembles regular vaginal mucosa than other tissue options used to line the neo-vagina.

Peritoneal vaginoplasty

Peritoneal vaginoplasty (or Luohu operation) uses the lining of the abdominal cavity, the peritoneum, to create the vagina. Like intestinal vaginoplasty, peritoneal vaginoplasty is usually performed laparoscopically. Patients who have undergone this procedure do not systematically resort to dilation to maintain their vaginal opening. This is particularly true if they have regular sexual intercourse.

McIndoe vaginoplasty

The McIndoe technique, the McIndoe procedure or McIndoe vaginal rejuvenation are quite different from peritoneal and intestinal vaginoplasty procedures. Unlike peritoneal and intestinal vaginoplasties, the McIndoe technique does not require abdominal surgery to create the lining. Instead, McIndoe vaginoplasty lines the vagina with a skin graft. The graft is placed on a vaginal mold, then into the space previously opened to become the vagina.

In peritoneal and intestinal vaginoplasty, no such mold is used. The mold is used regularly during the first months after surgery. It is removed for regular cleaning. This regular use promotes healing of the vagina in an open cavity conducive to sexual intercourse. Unlike peritoneum and intestine, skin is not a mucous tissue. It is therefore not self-lubricating. This also increases the risk of closure of the vaginal opening. For this reason, those who have a McIndoe procedure and who do not have regular sexual intercourse will have to commit to dilating their vagina for the rest of their lives.

Oral mucosa vaginoplasty

The oral mucosa is the tissue that lines the mouth. It is quite similar to the vaginal mucosa. Both tissues are hairless and create mucus. In other words, this method offers a perfect solution to give the neo-vagina a human and natural appearance. Despite this, oral vaginoplasties remain less frequent than other vaginoplasty procedures for several reasons. Only a relatively small area of tissue is available. In general, patients are concerned about side effects in the mouth and cheek. In addition, the inside of the mouth is not an area that most gynecologists are used to working on. Therefore, they may have to collaborate with facial surgeons to harvest the tissues appropriately

Penile inversion vaginoplasty

The surgeon opts for penile inversion vaginoplasty only in transgender women. In this procedure, the doctor removes and inverts the penile skin (skin from the outside of the penis) to create the vaginal lining. The head of the penis is also reshaped to create a clitoris. Finally, the scrotal skin is used to create the labia majora and labia minora. The disadvantages of this procedure are similar to those of McIndoe vaginoplasty. Hair must be completely removed to ensure that no hair grows inside the vagina.

The vagina requires a lifetime of dilation for maintenance. It is also not self-lubricating. Although penile inversion vaginoplasty is mainly reserved for transgender women and individuals, it is not the only option for vaginoplasty. Indeed, these can also benefit from intestinal vaginoplasty, either during their first surgical intervention or in case of later revision. At least one woman or transgender person has also undergone peritoneal vaginoplasty, but they are not widely available for this population.

Cosmetic surgery of the female genital tract

Is there a solution to improve the appearance and functioning of the female genitals? Yes, this is cosmetic surgery of the female genital tract, more commonly known as intimate surgery. It aims to correct any aesthetic or functional problems, for example: laxity of the vaginal wall, descent of the levator muscles or hypertrophy of the labia. Thus, this intervention allows women to regain confidence in themselves and feel better in their bodies.

Social security does not cover cosmetic operations, but may cover certain vaginoplasties and corrections of the levator muscles that have an impact on the patients’ health. However, it is important to note that this coverage may vary depending on the country and local regulations. On the other hand, labia and pubic surgeries and other cosmetic interventions are generally not covered by social security. Despite this, many women see these cosmetic surgeries of the female genital tract as a solution to improve their appearance and feel better in their skin.

Vaginoplasty for Transgender Individuals

Vaginal rejuvenation surgery is an operation that offers transgender women the opportunity to transform their male genitals into a functional vagina. This step is crucial in the transition process of a transgender woman.

The Importance of Preserving Nerve Endings in Vaginoplasty

When it comes to vaginoplasty, preserving the nerve endings in the genital area is paramount. Indeed, this practice makes it possible to obtain sensitivity and sexual satisfaction comparable to those experienced by women naturally endowed with female genitals.

Vaginal rejuvenation is also important for the gender affirmation of transgender women. By having a vagina that corresponds to their gender identity, transgender women can feel more in tune with their bodies and their sexuality.

Risks Associated with Vaginoplasty and How to Minimize Them

Although vaginoplasty is an option, it does carry some potential risks such as loss of sensation in the genital area, infections, and vaginal narrowing. In order to minimize these risks, it is necessary to follow the surgeon’s instructions during the recovery period and take care of the genital area after surgery. In some cases, vaginal reduction may also be necessary for transgender women. The cosmetic surgeon can achieve this by removing part of the existing vagina to shorten it. This procedure is often necessary if the vagina is too long or if the patient experiences pain during sexual intercourse.

Vaginoplasty: A Step Towards Aligning with One's Gender Identity

Vaginoplasty is a crucial step for transgender women wishing to harmonize with their gender identity and feel comfortable in their own bodies. However, it is essential to consider the risks associated with this procedure and discuss them with a qualified surgeon in order to consider all available options.

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