Labiaplasty - Plastic Surgery of the Female Genital Organs | pelvic repair | Dr N Layyous

Plastic Surgery of the Female Genitalia

Labiaplasty - Plastic Surgery of the vulva

Candidates for Labiaplasty

The candidates are patients complaining from elongation in the labia causing irritation and itching with redness and discomfort when using tight clothing or during sex.

Aims of the Vulva Plastic Surgery

1- Repair any marks or deformity due to previous delivery.
2- Repair the vaginal widening which mainly due to vaginal delivery.
3- Make symmetry of labia minora.
4- Decrease fat distribution in this area.

Procedure of Labiaplasty

1- Under GA.
2- Small incision and scar.
3- No change in sensation most of the time
4- Need no dressing, using absorbable stitches

Labiaplasty post operation

1- You can leave the hospital on the same day of operation.
2- You can return to your daily activity and take shower the next day and make sex 30 days later.

Vaginal tightening surgery

- The aim of this procedure is to increase strength of vaginal muscle and perineum, mainly after multiple vaginal deliveries, which gave satisfaction of both partners during sex.
- Duration of the procedure is around one hour; most of the patient needs 24 hours for full recovery and return to their activity.
- Follow up is done within two weeks, post op stitches need 7-12-day post op to be absorbed
- If pregnancy occurred after operation delivery is advised to be by c/s.

Pelvic floor relaxation and prolapse repair.

Pelvic floor is a group of muscle which gives support to the bladder, abdomen, uterus and vagina. When those muscles lose their strength, it causes the area to become relaxed which may lead to prolapse.

Causes of pelvic floor relaxation and prolapse

1- Recurrent vaginal delivery.
2- Menopause in which level of estrogen decreases and relaxation of the muscle happens.

Types of prolapse

There are many types of prolapse and sometimes there are two or more types presents at the same time:
1- Cystocele.
2- Cysto-urethrocele
3- Rectocele, Enterocele
4- Uterine prolapse.

Symptoms of pelvic floor relaxation and prolapse

1- Feeling of heaviness feeling or mass coming down through the vagina
2- Back pain
3- Stress incontinence, especially if the bladder neck weak
4- Obstructed defecation, especially if there is rectocele or enterocele
5- Wide vagina causing discomfort during intercourse.
6- Cervical erosion, infection and bleeding if the cervix is prolapsed through the vaginal opening.

Types of treatment of pelvic floor relaxation

There are two types of treatment depending on the type and the degree of prolapse:
1- Conservative therapy in cases of mild prolapse including :

• a. Pelvic floor exercise.
  
  b. Ring pessary inserted by the doctor and replaced every 4-6 month.

2- Surgical treatment depending on the type and degree of prolapse, and if it is associated with stress incontinence or not:

• a. Anterior repair.
  
  b. Posterior repair.
  
  c. Vaginal hysterectomy + anterior and posterior repair. Done in cases where the uterus and cervix are outside the vaginal opening.

Dr Najeeb Layyous F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist