2024-01-01 · female, pelvic, surgery
Vaginal Reconstruction Surgery FAQ
What Is Vaginal Reconstruction?
Vaginal reconstruction (also called vaginoplasty or vaginal reconstructive surgery) restores or creates vaginal anatomy when it has been damaged, removed, or is absent. It may be performed after cancer treatment, trauma, congenital differences, or to repair significant pelvic floor injury. The goals are to improve function, comfort, and quality of life.
Why Might Someone Need Vaginal Reconstruction?
Common reasons include:
- Repair after pelvic surgery or cancer treatment
- Congenital conditions affecting vaginal development
- Severe pelvic organ prolapse or tissue damage
- Trauma from childbirth or injury
- Chronic pain, scarring, or functional limitations
A pelvic specialist evaluates anatomy and symptoms to guide the best approach.
What Symptoms or Issues Lead to Evaluation?
People seek evaluation for:
- Pain, scarring, or narrowing of the vaginal opening
- Difficulty with intercourse or tampon use
- Recurrent infections or irritation
- Pelvic pressure or bulge related to prolapse
- Missing or incomplete vaginal canal due to congenital conditions
A detailed exam and imaging help determine the surgical plan.
About the Vaginal Reconstruction Procedure
Vaginal reconstruction is tailored to the individual and is performed under general anesthesia. Techniques may include tissue rearrangement, grafts, or use of flaps from nearby tissue. The procedure length varies based on complexity. Your surgeon will explain the specific approach, including whether a minimally invasive or open technique is used.
What Happens After Vaginal Reconstruction?
Postoperative care focuses on wound healing, pain control, and protecting the surgical site. You may be prescribed medications, instructions for hygiene, and activity restrictions. Some procedures require vaginal dilation or pelvic floor therapy to maintain healing and function. Follow-up visits are essential.
How Long Does Recovery Take?
Recovery depends on the surgical technique and overall health. In general:
- Initial healing occurs over several weeks
- Activity restrictions often last four to six weeks
- Full recovery and return to sexual activity may take two to three months
Your surgeon will provide a personalized timeline.
What Are the Potential Risks of Vaginal Reconstruction?
Potential complications include:
- Infection or bleeding
- Scarring or narrowing of the vaginal canal
- Pain or changes in sensation
- Wound healing issues or graft failure
- Need for additional procedures
Careful follow-up and adherence to postoperative instructions reduce risk.
When Should I Seek Medical Attention?
Seek medical care for heavy bleeding, fever, severe pain, foul-smelling discharge, or wound changes. Early evaluation helps prevent complications and ensures proper healing.