Vaginoplasty in Tunisia

Vaginal tightening surgery is for women whose perineal muscles have relaxed and would like to shrink the diameter of their vagina.

The relaxation of the perineal muscles is most often caused by:

• Overweight
• A vaginal delivery
• An episiotomy having been closed badly
• The age of the patient can also be the cause of a loosening of the perineal muscles.

Patients wishing to have other children are strongly advised to wait before initiating vaginoplasty.

How does vaginoplasty surgery work?

Vaginoplasty surgery is usually performed under general anesthesia. 

Criteria for successful vaginoplasty

Define the degree of gap, sphincter condition, prolapse ...

Listening to the patient and the couple

Clinical examination of the genito-perineal sector

The treatment is surgical or by fat transfer / hyaluronic acid

Vaginal tightening surgery

Following enlargement due to pregnancy and childbirth, or weight loss, the patient claims vaginoplasty for tightening, reducing, narrowing, or firming vaginal open bite.

For some patients it is a desire for vaginal, genital, sexual rejuvenation.

More rarely it is a request even outside any pregnancy or childbirth,

The open bite being felt as such, because of sex too "floating" without sensation

Postnatal rehabilitation has had no appreciable effect.

Motivations for vaginoplasty

• deeply troubled sexuality, "it floats", vaginal gases, come back from the pool with a supply of water flowing from the vagina ...
• motivation for the balance of the couple
• for a sports activity, abandoned, by weakness of the perineal floor,
• fear of aggravation and ...
• risk of progression to prolapse
• incontinence, despite perineal reeducation having taken place in post natal.
• lack of self-confidence
• sexual activity dodged
• urinary insecurity and more serious, anal;
• social exclusion

Vaginoplasty and other intimate surgery

Vaginoplasty and labiaplasty

Frequent association is the opportunity to treat them together, in order to achieve an overall aesthetic and functional result.

Vaginoplasty and fat transfer: In some cases of vaginal mucosa too thin, a few milliliters of fat are harvested then injected under the vaginal mucosa

in order to improve its trophicity, vitality and sensitivity,

Vaginoplasty and urinary incontinence

One patient out of two, besides the vaginal gap, has a fragility micturition, manifesting itself outside the obvious incontinence, by leaks with the effort, with the cough, during the sport activities, the port of a load ...

Need for a specialized urological clinical examination with urodynamic assessment ...

Treatment: physiotherapy of the perineum, anti-cholinergic (type Ditropan ...)

Specialized surgical treatment is sometimes necessary, in addition to vaginal open bite, consisting of a urethrocervical injection, or a sub-urethral strip.

Hospitalization for vaginoplasty

-Hospitalization required, usually 24h.

-all local anesthesia or better under loco-regional or general anesthesia or under epidural.

-Duration of the intervention: 60 to 90 min

-Reprise sport and sexual activity after 6 weeks.