Vaginal Reconstructive Surgery

Vaginal Reconstructive Surgery can be either medical or cosmetic (or sometimes both).  After childbirth, some women complain of vaginal relaxation, or that their vagina is “loose.”  Although complaints regarding a decrease in sexual pleasure is not considered a medical issue, vaginal prolapse (relaxation) is.  As a result of childbirth and other causes, such as menopause, hysterectomy, advanced age, or obesity, the network of muscles, ligaments, and skin of the vaginal area may weaken, and allow the organs to fall out of their normal places.  If the support weakens enough, organs may even begin to fall out of the vagina itself, thus making vaginal reconstructive surgery a medical necessity.

Symptoms of vaginal prolapse include, but are not limited to:

  • Vaginal bulging
  • Pressure
  • Painful intercourse
  • Recurrent urinary tract infections
  • Difficulty emptying bowels
  • Difficulty emptying bladder
  • Constipation
  • Decreased friction during intercourse

Vaginal prolapse can be reversed via vaginal rejuvenation, or tightening, one form of vaginal reconstructive surgery.  As there are various forms of relaxation involving different organs, each surgery is modified to suit the patient, but all involve tightening the vagina walls, thus providing the firm support the surrounding organs need.  Fixing the prolapse will also usually provide the friction during intercourse that many patients desire.

Cosmetic Vaginal Reconstructive Surgery

Other surgeries are fully cosmetic, though they are desired for a number of reasons.  Some patients seek vaginal reconstructive surgery for aesthetic reasons that affect their body image, while others suffer from functional problems such as pain and discomfort during physical activities.

These surgeries include:

Labia minora reduction (labiaplasty):  The labia minora (smaller, inner lips) are “contoured” using various tools in order to reduce one side or both.

Labia majora reduction:  For patients who feel that their labia majora (outer vaginal lips) are too “floppy” or “bulky.”

Redundant prepuce removal:  Redundant prepuce is a second complete hood located above the clitoris.  The removal of the tissue is often done in order to complete the aesthetic appearance desired after a labia minora reductive surgery.

Excess prepuce (clitoral hoodectomy):  Unlike the redundant prepuce, excessive prepuce is the original and singular protective barrier, which is just excessive.  The tissue is not usually removed, only reduced, in order to gain better access and increase stimulation.

Mons pubis reduction (vulvar lipoplasty):  In a mons pubis reduction, fatty deposits are extracted from the area where the woman’s stomach meets her pubic area.  The surgery is performed on women who feel the bulging appearance makes her unattractive or unfeminine.

Labia majora convergence:  Patients undergoing convergence surgery feel that their labia majora diverge from each other, rather than converge.  This can occur both above the clitoral hood and below the vaginal opening.

Hymen restoration (hymenoplasty):  In a hymenoplasty, the hymen is reconstructive and returned to its vaginal state.  It is often performed for religious, cultural, or social reasons.

To learn more about vaginal reconstructive surgery for medical or cosmetic reasons, or for additional resources on vaginal deformities and common conditions, please contact the surgeons at Women’s Specialists of Plano at 972-379-2416 or visit our online appointment center.