Vaginal surgery

The vagina is a like a loose tube. It is suspended in the tummy by uterus above. It is further held in place by a set of muscles and fascia around it.

In the course of delivery of the baby these muscles and fascia get stretched.

If the elastic recoil does not take place by nature &/ or exercises then the lady is left with a loose vagina.

Extreme of looseness will give rise to prolapse.

A loose vagina may interfere with the sexual pleasure to both the partners.

By a series of plication sutures the loose fascia and muscles are tightened.

Case selection - The lady should not have vaginal infection. If it be, then the infection must be eradicated first.

The vagina should be loose. But not loose to give prolapse.

If there is prolapse , it should be operated first or may be concurrently.

Any urinary infection or perineal skin infection should be treated first.

The operation is done under general or regional anaesthesia.

Postoperative:- Patient is awake at the end of surgery. There may be discomfort for first few days.

Recovery:- The operated area will heal in 10 days. The sutures would dissolve away.

The tissue would be firm in three weeks. After six weeks the patient can do exercises to get better in the muscle tone and have a better grip.

Do's and don'ts:- Take good rest for 10 days. No intercourse for six weeks.

Continue with exercises for 6 months.

Hymenopalsty

Details of Procedure:-

The Hymen is a thin layer at vaginal opening.

Normally it is torn at the time of the first intercourse.

It could rupture at horse riding and sports.

This is what causes bleeding at the first intercourse and many men are satisfied with the virginity of the wife when they see the blood.

Reconstruction of the Hymen is hymenoplasty.

The girl can then be passed off as a virgin.

It is procedure that can be done under local anaesthetic and done as a day care surgery.

The sutures are dissolvable. One should allow it to heal and avoid getting married for three weeks after surgery.