Vaginoplasty is a reconstructive surgical procedure that tightens vaginal muscles which have become weak, loose or slack as a result of childbirth, hormonal changes or ageing.
The procedure tightens the pelvic floor and rebuilds and strengthens the perineal muscles.

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What are the signs of weak vaginal muscles?

The signs of weak and loose vaginal muscles include:

  • Stress incontinence
  • Sexual dysfunction, such as a loss of sensitivity during intercourse.

What are the benefits of a vaginoplasty?

The advantages of a vaginoplasty include:

  • Tightened vaginal muscles provide better support for the womb, bladder and bowel
  • Restored bladder control
  • Enhanced sexual enjoyment
  • Improved self-confidence and self-esteem.

What happens during a vaginoplasty?

Dr Vlok and his team usually perform a vaginoplasty under a general anaesthetic, although a local anaesthetic combined with sedation is sometimes used.

During the procedure, the stretched muscle at the back of the vagina is joined together to shorten it, excess vaginal lining is removed, and the soft tissue surrounding the vagina is tightened.

How long does a vaginoplasty last?

The procedure usually lasts between one and two hours.

How soon can you go home after the procedure?

You can go home on the same day, after resting in the clinic for a few hours.

How do you feel after a vaginoplasty?

After surgery, there will be some bruising, soreness and swelling. This will subside within 1-2 weeks. You’ll be given pain relief medicine to control any pain. You should be able to walk comfortably and resume normal activities within a few days.

Dissolvable stitches are used, so there is no need to have them removed.

What are the risks of a vaginoplasty?

The small risks of post-operative bleeding or infection are similar to those of other straightforward procedures carried out under general or local anaesthetic.

There are no specific risks associated with a vaginoplasty.

How long will it take to recover?

Dr Vlok will advise you to take at least one week off work.

You can resume exercise, swimming and sexual intercourse when you’re fully healed. This usually takes around six weeks.

When will you see the results?

You’ll begin to see an improvement in the tone of your muscles after 2-3 weeks. The full results of the surgery should be evident within eight weeks.

How long do the results last?

The results are usually permanent. However, if you have another vaginal delivery, your muscles may be weakened again. The ageing process will mean that your vaginal muscles become somewhat weaker over time, but they won’t return to their pre-vaginoplasty condition.

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