Vaginal reconstructive surgery refers to surgical procedures aimed at restoring or improving the structure and function of the vagina. These surgeries can address many issues from pelvic organ prolapse and incontinence to birth defects or trauma. The objective of this variety of procedures is always the improvement of the patient’s quality of life. This guide will provide you with a comprehensive understanding of vaginal reconstructive surgeries, their procedures, applications, benefits, and risks.
Types of Vaginal Reconstructive Surgery
Multiple types of vaginal reconstructive surgeries exist to meet the diverse needs and situations of different women. Common surgeries include cystocele repair (bladder repair), rectocele repair (rectum repair), uterine prolapse surgery, and vaginal vault prolapse surgery. Additionally, other repairs may be done for congenital conditions such as a cloacal anomaly, or after damage from illnesses or trauma.
Likewise, vaginal reconstruction is also performed as part of gender affirmation surgery for trans women.
Procedure
The specifics of the surgical procedure depend on the type of vaginal reconstruction taking place. Repairs for pelvic organ prolapse are commonly executed through the vagina. They might involve repositioning and securing the organ with stitches. In some cases, a small piece of mesh might be used to support the pelvic organ. However, this approach varies widely depending on a woman’s medical situation, personal anatomy and the judgment of the surgeon.
Applications
The primary application of vaginal reconstructive surgery lies in treating pelvic organ prolapse; this potentially painful condition happens when pelvic organs fall into or protrude out of the vagina because of weakened pelvic muscles. Similarly, vaginal reconstructive surgery can treat stress urinary incontinence, another problem related to weak pelvic muscles.
The procedure also aids in creating a neovagina for trans women as part of their gender affirmation journey. It can be extraordinarily transformative and provide psychological benefits besides the physical restoration or recreation of the organ.
Risks and Benefits
Although vaginal reconstructive surgery can significantly improve a woman’s quality of life, they’re not without risks. These may include infection, bleeding, pain, sexual dysfunction and the possibility of the prolapse recurring. However, most women find that the benefits outweigh the risks. These benefits often include relief from discomfort, improved sexual and urinary function, increased self-confidence, and overall increase in quality of life.