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Information in spanish
Surgical Procedure
The female genital surgery is the combination of procedures aim to correct different alteration in the vagina.
As many women seek to improve the shape of their breasts, many women also seek to correct problems and imperfections in the vagina, especially those resulting from childbirth.
The vaginal rejuvenation seeks to restore some characteristics of youth such as the presence of the hymen,
reduction of the mount of Venus (mons pubis), and the G-Shot. In the same manner, the vaginal rejuvenation may help women to correct some conditions such as the
hypertrophy of labia minora, hypertrophy of labia majora, and hypoplasia of the labia minora and majora.
This area of plastic surgery also involves the clitoris surgery and the vaginal tightening surgery.
Which women do need the female genital surgery?<
The candidate for female genital surgery
There are many reasons for women to consider the female genital surgery, but childbirth is the most frequent reason.
The pelvic anatomy can be affected during delivery. During delivery different lesions may affect the tissues in the vaginal canal.
A mother who has just given birth hardly can notice these changes that she considers as a part of the labor delivery.
However, as time passes, the woman may feel unwanted changes in her genital area.
The most frequent alterations resulting from childbirth are associated to pelvic floor
damage which may cause genital prolapse (descent of tissues or organs into the vagina), vaginal amplitude, and potential incontinence.
Some pathological conditions of the vagina may also be treated through surgery.
In these cases, the vaginal rejuvenation may restore the shape of these areas, permitting greater sensation during the sexual experience.
Labia majora may change as women age. Since female genitals are “exposed”, the wearing of tight clothing and certain activities
(e.g. riding bicycle) may cause discomfort in patients with sagging labia. But hypertrophy of labia majora can also cause infections,
vaginal pH alteration, and skin irritation. Hypertrophy of the labia majora may also affect the woman´s appearance and her way of dressing.
Since this is an erogenous zone of sexual arousal, surgery is performed in such a way that the form and the function are preserved.
The female genital surgery is the combination of procedures aim to correct different alteration in the
vagina. As many women seek to improve the shape of their breasts, many women also seek to correct problems
and imperfections in the vagina, especially those resulting from childbirth.
The vaginal rejuvenation seeks to restore some characteristics of youth such as the presence of the hymen,
reduction of the mount of Venus (mons pubis), and the G-Shot. In the same manner, the vaginal rejuvenation
may help women to correct some conditions such as the hypertrophy of labia minora, hypertrophy of labia majora,
and hypoplasia of the labia minora and majora. This area of plastic surgery also involves the clitoris surgery and the vaginal tightening surgery.
Which women do need the female genital surgery?
The candidate for female genital surgery
There are many reasons for women to consider the female genital surgery, but childbirth is the most
frequent reason. The pelvic anatomy can be affected during delivery.
During delivery different lesions may affect the tissues in the vaginal canal. A mother who
has just given birth hardly can notice these changes that she considers as a part of the labor delivery.
However, as time passes, the woman may feel unwanted changes in her genital area.
The most frequent alterations resulting from childbirth are associated to pelvic floor damage
which may cause genital prolapse (descent of tissues or organs into the vagina), vaginal amplitude, and potential incontinence.
Some pathological conditions of the vagina may also be treated through surgery. In these cases, the vaginal rejuvenation may restore
the shape of these areas, permitting greater sensation during the sexual experience. Labia majora may change as women age. Since female genitals are “exposed”,
the wearing of tight clothing and certain activities (e.g. riding bicycle) may cause discomfort in patients with sagging labia. But hypertrophy of labia majora
can also cause infections, vaginal pH alteration, and skin irritation. Hypertrophy of the labia majora may also affect the woman´s appearance and her way of dressing.
Since this is an erogenous zone of sexual arousal, surgery is performed in such a way that the form and the function are preserved.
What can I expect during the clinical assessment?
In the consultation with the physician you should clearly express what you want to change
or improve. During the consultation you may feel a little anxious, but remember you are with a health professional
that is willing to listen to your desires. Through a physical examination and gynecologic assessment, the physician may determine the problem.
Will genital surgery result in decrease in sensation?
As with any other surgical procedure, the patient may experience a
temporary loss of sensitivity due to the manipulation of the tissues and
consequent swelling. As swelling resolves, sensitivity will gradually improve.
What may happen with the urinary function after the procedure?
In these types of procedures, the urinary function is preserved. For your
comfort, urine catheterization may be used during surgery or for 72 hours, maximum, depending on the type of procedure performed.
Is the procedure painful?
Pain medication will be prescribed. Take it as needed.
Most patients do not refer important pain and show high tolerance for pain.
The patient may experience some discomfort due to sutures. This condition will
resolve gradually as tissues heal. It is possible the patient also may experience vulvar swelling.
This is an expected condition and will resolve in time.
When can I resume my normal activities after surgery?
Every patient has a different healing process and
the time and way tissues may respond to injury may vary. Although you will need minimum time to recover,
it is important to give your organism enough time to heal. You can gradually resume your normal daily activities, as long as,
these do not require physical effort.
What are the risks involved in genital surgery?
This is very simple procedure. However, surgery of any kind carries risk of
complications. The patient may experience some bruising (hematoma) which can be treated
trough medication. Despite taking all precautions, infections inside or outside incisions may occur.
Usually, patients undergoing surgery receive antibiotic prophylaxis against wound infection.
The loss of sensitivity in the erogenous zone is extremely rare. Remember that injuries need
time to heal and it takes some time for the results to be completely evident.
Most complications on female genital surgery are minor and resolve in time.
What can I expect after surgery?
The patient will require a short period of absolute rest and passivity
after surgery. Since vaginal tissues are very fragile, obviously any movement or physical activity should be limited.
Wound healing may take from 4-6 weeks. Sexual activity should also limit for the following 4 weeks to allow maximum tissue healing.
The surgical procedure usually takes 30 minutes approximately.
What care should be taken after the female genital surgery?
Part of the success of surgery depends on the postoperative care. It is very important to follow
the surgeon´s recommendations to achieve the desired outcome. Dr. Nieto closely observes her patient´s
convalescence and healing. Please do not hesitate to contact her if you have questions or concerns. Written instructions
will be given for your postoperative care to you and your family.
Labia majora: The labia majora are two marked longitudinal folds of skin which extend downward and backward from the mount of Venus to merge with the skin of the perineum. They form the lateral boundaries of the vulva and cover with hair during puberty. >
Anterior labial commisure: It is the joint of the labia majora located below the mons pubis. >
Posterior labial commisure : It is the fine commisure above the perineum.>
Fossa of vestibule of vagina (or fossa navicularis): Depression in the vestibule between the vagina and the frenulum labiorum pudendi.
Labia minora: It is also called nympha. The two thin inner folds of skin within the vestibule of the vagina enclosed within the cleft of the labia majora, and extend from the clitoris obliquely downward, laterally, and backward on either side of the vulval vestibule, ending between bottom of the vulval vestibule and the labia majora. These folds are very tender and swell during sexual excitation.
Frenulum clitoridis :(also known as the crus glandis clitoridis) is a frenulum on the under-surface of the clitoral glans, created by the two medial parts of the labia minora. The clitoris is the visible button-like portion is located near the anterior junction of the labia minora, above the opening of the urethra and vagina. The clitoris is known as a pseudo-penis, under developed penis in the fetal stage. The only function of the clitoris is the sexual pleasure due to its more than 8000 nerve endings.
Tiene aproximadamente 8000 terminales nerviosas.
Clitoral hood : Also called preputium clitoridis and clitoral prepuce. It is a fold of skin that surrounds and protects the clitoral glans and has the shape of a hood.
Fourchette of the vulva: The Fourchette of the vulva is the fold of skin that forms the posterior margin of the vulva.
Vulval vestibule (vulvar vestibule): The vulval vestibule is a part of the vulva between labia minora into which the urethral opening and the vaginal opening open.