There’s a vast range of reasons that may cause change of shape, size, and position of internal female genitalia, which affect women regardless of age. Uterine prolapse, posterior vaginal wall prolapse, and various wall protrusions can cause serious discomfort not only during sexual intercourse but also in routine life. There is increased risk of infection, interference with bowel and bladder emptying, leading to both physical pain and psychological problems. Often, these issues require surgical intervention.
On early stages minimally invasive procedures under local anaesthesia may suffice. Early stage can be identified solely through gynecological examination. Laser intimate plastic surgery and thread plastic surgery methods are used for treatment.
On later stages the vaginal walls descend in such a way that they are noticeable in the perineum. Constant friction of the mucous membrane with underwear causes discomfort and pain. Vaginal surgery helps prevent inflammatory processes. Colporrhaphy is used for treatment in this case.
Colporrhaphy is a cosmetic surgery procedure aimed at suturing the walls of the vagina. It is one of the options for vaginoplasty and helps restore the necessary size of the organ, normalize urination and defecation, relieve discomfort, and other negative symptoms. It is worth noting that the procedure does not affect the process of conception and childbirth.
Such surgical intervention can be performed to improve a woman’s quality of sexual life or for medical reasons.
Sexual dissatisfaction is one of the indications for the operation. Enlarged vaginal size or laxity of its walls interfere with full sensations during intimacy, leaving both partners dissatisfied.
Anterior: The main task of anterior colporrhaphy is to suture and reinforce the anterior wall of the vagina, which borders with the urethra and bladder.
Posterior: It is a surgery involving suturing the walls of the vagina that border on the rectum. Additionally, posterior colporrhaphy is often combined with levatoroplasty, where the muscles of the pelvic floor are strengthened.
Colporrhaphy, like any planned surgery, is preceded by thorough and comprehensive examination by the operating surgeon, to exclude possible contraindications, clarify the nature of the pathology, and develop a proper plan of intervention. Often, additional gynecologist consultation is required.
Several days before the surgery, it is necessary to undergo preoperative preparation, which includes tests, instrumental examinations, correction of bowel function, and preparation of the genital tract (elimination of infections, normalization of microflora, etc.).
The rehabilitation period lasts from two to four weeks, during which sitting, sexual activity, and sports are restricted initially after the surgery. Movement may be strongly limited for the first 2-3 days, so staying in hospital is recommended for this period of time.
It depends on scale of the surgical intervention and nature of your job. If the patient’s line of work does not require physical activity, they usually return to it within a week after surgery.
