in Bangkok, Thailand

          Vaginoplasty is a standard gynecologic surgical procedure that aims to "tighten" a vagina.  The vagina has become slack or loose from experience, enlargement due to stressful expansion during childbirth, aging, or outcomes to fixing functional problems, such as urinary incontinence.

          Their results can often be loose, weak, vaginal muscles. Even after exercise (Kegal exercise), the condition of the vaginal muscles may not improve. The patients will often describe vaginal looseness as a decrease in their ability to attain vaginal orgasms. The result is an immediate decrease in the size of vaginal muscles, resulting in more friction during sexual experiences.


A Good Candidate for a Vaginoplasty

You might be a candidate for a Vaginoplasty, if;

  • You have multiple or prolonged childbirths using forceps or other assisted methods of delivery
  • You have vaginal flatulence
  • You have a history of constipation and straining with bowel movements
  • You are an aging woman
  • You have urinary incontinence
  • Dyspareunia


Preparation for a Vaginoplasty

  • Physical examination includes a blood test, chest X-ray, and EKG the patient is over 40 years old to assess if there is any risk from a heart condition
  • Stop smoking for at least two weeks before surgery
  • Stop taking any anti-inflammatory medications such as Aspirin, Ibuprofen at least two weeks. Also, avoid herbal supplements and vitamins which may increase with bleeding during and after surgery
  • The patient will be asked to do a bowel prep before surgery


Vaginoplasty procedures

Kamol Cosmetic Hospital offers two techniques for  a Vaginoplasty as follows;

Show Anteria & Posteria vaginal repair

Picture 1. Show Anteria vaginal repair

          1. Anteria & Posteria vaginal repair (A-P Vaginal Repair) that removes the excessive anterior and posterior vaginal tissues as well as bladder and rectum prolapse, thereby correcting the prolapse and at the same time, tightening the vagina


Show Posterior vaginal repair (P-Repair)

Picture 2. Show Posterior vaginal repair (P-Repair)


2. Posterior vaginal repair (P-Repair) - removes the excessive posterior vaginal tissues as well as rectum prolapse, thereby correcting the prolapse and, at the same time, tightening the vagina

 The procedure performs in the operating room for approximately 1-2 hours under general anesthesia, and the urinary catheter may insert to avoid the retention of urine in the first two days after the operation. When the tension is relieved, the catheter will remove.


Post-operative care for Vaginoplasty

  • Keep vaginal packing 24 hours after the surgery to stop bleeding
  • After surgery a few days, you will feel like a passing stool. It causes the sutured posterior vaginal wall. Please take a rest to reduce the symptom and take some medicine for a laxative
  • You may take a shower after the catheter is removed, and the surgeon will evaluate your urinating after removing the urinary catheter to prevent infection
  • Avoid cleaning with water after urinating but opt for sanitary wipes to clean the area instead. Water may be used after defecating, followed by a towel to dry the area gently. Do not put anything to wash inside the vagina
  • A few days after surgery, recommend a gentle movement for avoiding wound disruption
  • After the first two weeks, you will have light reddish bleeding out of the vagina, should use the sanitary napkin for post-operative bleeding. In case of a lot of bleeding, swollen reddish wound, and high fever, please contact the hospital or to meet the doctor immediately
  • After the surgery, you can have soft food for a week, and then have regular food
  • Stop alcohol and smoking at least for two weeks
  • You may have abnormal vaginal discharge, a yellowish-green discharge after surgery 6-8 weeks. It may come from vaginal bacteria or incomplete absorption of the suture
  • You may have itching or discharge. It can cause a reaction to the suture

Please contact the hospital or the doctor, and he will give you some medicine.


Risks and complication for Vaginoplasty

  • Bleeding
  • Infection
  • Skin and clitoral necrosis
  • Rupture of the suture
  • Vaginal prolapse
  • Fistulas
  • Urinary retention.


Recovery for Vaginoplasty

  • Avoid swimming in the pool, strenuous or heavy activities, and sexual intercourse for 6-8 weeks
  • You can have the usual activities after four weeks of the surgery
  • Patients can go back to work in one week
  • Please follow up with the doctor every appointment
  • The absorbable sutures will dissolve within 6-8 weeks, and if it does not look completely absorbable.  The stitches will remove and take an antihistamine to control the itching

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