Category Surgery For Women

Hymenoplasty, often referred to as hymenorrhaphy, hymen reconstruction, hymenal refashioning, or revirgination, is a surgical intervention performed to restore or repair the hymen.

The hymen is a delicate, circular fold of mucous membrane that is composed of epithelial and connective tissue. It has a limited number of blood vessels and a small amount of nerves, some of which are not associated with the sympathetic nervous system. The hymen typically undergoes rupture or tearing, resulting in bleeding, during a woman’s initial sexual intercourse or in response to different forms of stress. The rupture of the hymen does not undergo spontaneous healing.
Women who have a hymenal cleft resulting from sexual intercourse, trauma, intense sporting activity, or surgical treatments are eligible for hymenoplasty.
Women who have undergone several hymen repairs, have a history of vaginal or induced delivery, or have medical issues such as venereal disease, vaginal infection, or diabetes are not eligible for this surgical procedure.

Preoperative preparation
During the consultation, a comprehensive evaluation will be conducted, which includes an assessment of the patient’s medical history (including allergies, significant medical conditions, and all medications taken, whether prescribed or non-prescribed), a physical examination, and laboratory tests.
 Smoking must be avoided for around 3-4 weeks before to surgery, as nicotine interferes with circulation and will drastically damage healing process.
 It is quite probable that you will be instructed to abstain from consuming alcohol starting one week prior to the surgery and continuing throughout your recuperation period.
It is advisable to refrain from consuming any medications, including hormones, anticoagulants, anabolic steroids, and supplements, for a minimum of 4-6 weeks before surgery to avoid any potential medical complications. Refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements, as they have the potential to heighten the risk of bleeding.
 Abstain from sexual intercourse on the night before to the procedure.

Throughout the course of the procedure:

The patient is positioned in the dorsal lithotomy posture. The perineal area is disinfected with iodophor solution and covered with a sterile drape. For this procedure, it is recommended to use local infiltration. The surgeon administers local anesthesia. The labium minus edge is stitched to the lateral border of the labium majus in order to achieve complete closure.

Examine and hymen. Local anesthetic is administered to both edges of the hymenal cleft.
Hymenal tears or clefts can be surgically repaired by bringing the edges together. The technique for approximation entails generating two imperfections on the side surface of one edge and on the inner surface of the other edge. The epithelium will be excised with a width of approximately 2-3 mm. The mucosal margins are approximated with 6-0 absorbable interrupted sutures.
excessively
If the gap between the edges of the hymenal cleft is greater than 2mm or if the edge of the hymenal cleft is less than 2mm thick, simply bringing the edges together may not be sufficient. In such cases, a local transposition flap is required.

The transposition flap procedure involves the creation of two defects: one on the internal surface of one cleft edge and another on the lateral portion of the vaginal vestibular mucosa. Once the new flap defect for the medial flap has been closed, the flap is next rotated to cover the medial defect of one cleft edge. The flap’s proximal portion is stitched to the defect margin of the opposite cleft edge. The lateral flap is pivoted to conceal the lateral imperfection on the opposite cleft edge, and the upper portion of its adjacent border is stitched to the imperfection on the opposite side of the split. The central sections of the upper edge of the two flaps located between the two separated edges are stitched together. The lateral flap’s new defect is closed directly. To prevent the formation of dog-ears, the triangular section of mucosa at the tip of the new flap flaws is surgically removed.
When there are several clefts, surgeons typically prioritize repairing only two or three clefts in order to avoid excessive tension on the incision.

Risks and Complications: Complications associated with hymenoplasty are often mild and can be easily controlled. Odynuria may occur in certain people, although it often resolves once the incision has healed. Most instances did not experience bleeding, significant postoperative discomfort, infection, uroschesis, rectal fistula, or retention of the menses.

Recovery and treatment after surgery:
No more dressing is necessary. Patients are advised to gently cleanse the perineal area, particularly the vaginal opening, with iodophor solution after urinating and defecating. The patient is able to take a bath on the second day after the surgery. Patients should avoid engaging in strenuous exercise, squatting, straddle motions, and riding activities. Postoperative consultation scheduled for 7 days after surgery.

Labia Reduction, also known as Labiaplasty or labioplasty, is a surgical surgery that corrects labial asymmetry or hypertrophy and changes the appearance of the vulva.

The labia minora are placed between the labia majora and are triangular in shape. The inside side of the labia minora is coated in pink, glossy mucosa, while the outside is covered in dark skin.

The usual breadth of the labia minora ranges from 1.5 to 2 cm.

Labial minora hypertrophy may be congenital or acquired. Acquired hypertrophy is caused by male hormones testosterone, chronic inflammation, excessive masturbation, stretching during sexual intercourse, early onset sexual intercourse, multiple pregnancy, and other factors.

During surgery, bigger or unequal inner vaginal lips are cut and shortened with specialized scissors, scalpels, or lasers. Furthermore, the labia majora on the outside of the body can be decreased through surgery or liposuction if necessary. A hoodectomy, which exposes the clitoris in an attempt to promote sexual arousal, might be performed concurrently.

The optimal incision position is determined by a variety of criteria, including the labia’s structure, texture, and size. The surgeon will next stitch the incision closed using absorbable sutures.

Preparation for surgery.

During consultation, the medical history (any allergies, major medical conditions, and all prescribed and non-prescribed medications) will be reviewed, as well as a physical examination and laboratory tests.

Smoking must be avoided for 3-4 weeks before to surgery because nicotine interferes with circulation and has a significant impact on the healing process.

You will most likely be urged to quit consuming alcohol a week before surgery and during your recovery time.

To avoid complicating medical conditions before surgery, refrain from taking any medications such as hormones, anticoagulants, anabolic steroids, or supplements for at least 4-6 weeks. Avoid taking aspirin, anti-inflammatory medicines, and herbal supplements because they can cause bleeding.

Do not engage in sexual intercourse the night before surgery.

Duration of the operation:

Labiaplasty typically takes no more than two hours, and in some circumstances as little as one hour.

Post-operative Care

Clean the wound site with hydrogen peroxide and use antibiotic cream or ointment regularly. Your stitches should disintegrate within 2-2 ½ weeks. Swelling and soreness should subside after 6 weeks. Pain relief can be achieved with oral medicines. Oral antibiotics may be recommended to lower the likelihood of infection.

Recovery Period:

After surgery, you will be unable to have intercourse for around four weeks, and your genitals will be sore and swollen for many weeks. You will be asked to refrain from any heavy, vigorous exercise for three or more weeks following surgery. Tampons and douches cannot be used for 3 to 6 weeks after surgery. You will need to wear a pad for one week or less while recovering owing to the resulting bleeding. Within four days, most women return to routine activities, such as work.

Possible Risks and Complications

There are dangers associated with any surgical procedures. The most common complications include bleeding, infection, asymmetry, and scarring. These incidents are rare, although they do happen on occasion. These will be discussed with you during the consultation for your surgery.

Anesthesia use:

General or local anesthesia?

Hospital admission:

Labiaplasty can be performed as an outpatient procedure or in a hospital setting using local or general anesthesia. You and your surgeon will discuss your desires.

IN BANGKOK, THAILAND, CLITORAL HOOD REDUCTION
A hood, a fold of skin generated by the labia minora, protects the visible region of the woman’s clitoris. The clitoral hood shields the clitoris’s sensitive glans from contact or rubbing.

The clitoral hood appears differently in each woman. Patients who are unhappy with the appearance of their clitoral hood may seek treatment through cosmetic surgery.

Clitoral hood reduction surgery, also known as a hoodectomy, can remove extra skin from the clitoris (also known as the prepuce). This improves the genitalia’s cosmetic appearance and may also aid improve sexual performance by making the clitoris more accessible.

The operation can be done as a stand-alone procedure or in conjunction with labiaplasty.

SURGERY
Clitoral hood reduction is usually done with local anesthesia and oral sedation. General anaesthesia may be used in some instances.

The length of the incisions can vary based on the patient’s anatomy and the surgical goals. If simply greater clitoris exposure is desired and no skin excision is required, the surgeon will often make an incision in the center of the clitoral hood along the length of the prepuce.

If the operation is combined with a labiaplasty, the excess skin can be removed as a Y-shaped extension of the labiaplasty. Incisions are often treated with absorbable sutures that disintegrate on their own.

The surgery takes around 30 minutes to complete, and you should be able to go home soon after.