Labiaplasty - Plastic Surgery of The Vulva

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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.

1- Repair any marks or deformity due to previous delivery.

2- Enlarge and wide the area which mainly due to vaginal delivery

3- Make symmetry of labia minora.

4- Decrease fat distribution in this area.

1- Under GA.

2- Small incision and scar.

3- No change in sensation most of the time

4- Need no dressing, using absorbable stitches

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 have sex 30 days later.

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 1 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 is a group of muscle which gives support to the bladder, abdomen, uterus and vagina. When those muscles lose their strength cause the area becomes relaxed which develops 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
1- Cystocele

2- Cysto-urethrocele 3- Rectocele, Enterocele 4- Uterine 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.

There are two types of treatment depending on the type and the degree of prolapse:

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