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Vaginal Surgery
The vagina is a like a loose tube. It is suspended in the tummy by uterus above. It is further held in place by a set of muscles and fascia around it.A vaginoplasty is a surgical procedure that tightens the vagina. This is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles.

During delivery of a baby the vagina and surrounding tissues and muscles become stretched. After delivery the vagina may return to a more "normal" size, but it often fails to return to its' pre pregnancy diameter. Generally, the more vaginal deliveries, the worse the condition gets.

Many women will complain of decreased sensation and sexual satisfaction during intercourse. A loose vagina may interfere with the sexual pleasure to both the partners. Extreme of looseness will give rise to prolapse.. Kegel exercises are often recommended but rarely succeed in restoring vaginal tightness.

Vaginal tightening surgery will tighten the vagina and surrounding tissues yielding a vaginal tightness similar to before the patient had children.
Tightening of loose vagina
Procedure:
Case selection - The lady should not have vaginal infection. If it be, then the infection must be eradicated first.

The vagina should be loose. But not loose enough to give prolapse.

If there is prolapse , it should be operated first or may be concurrently.

Any urinary infection or perineal skin infection should be treated first.

The operation is done under general or regional anaesthesia.
Postoperative:
Patient is awake at the end of surgery. There may be discomfort for first few days.

The operated area will heal in 10 days. The sutures would dissolve away.

The tissue would be firm in three weeks. Full healing takes approximately six weeks. After six weeks the patient can do exercises to get better in the muscle tone and have a better grip.
Do's and don'ts:
Take good rest for 10 days. No intercourse for six weeks.

Continue with exercises for 6 months.
Hymenoplasty
The Hymen is a thin layer of tissues at vaginal opening.

Hymen gets disrupted after the first intercourse or even after strenuous physical activity or use of tampon.
Procedure:
Reconstruction of the Hymen is hymenoplasty.

Hymen repair, hymen reconstruction, hymen surgery, Hymenoplasty or revirgination refer to the comestic surgery that restore your hymen. Hymenoplasty is a simple procedure that repair torn hymen.

There are two most popular type of Hymenoplasty
Simple Hymenoplasty:
Doctor will piecing together the remnant by closing the tear. It is a simple procedure and recovery takes place in 3-4 days. The hymen tissue is pulled together so vagina will again get covered by it. The risk of fever and infection is low since hymen is relatively avascular.
Hymen Reconstruction:
If there are no remnents of hymen left then the procedure to be performed is Hymen Reconstruction.In this new hymen is reconstructed using vaginal mucosal tissue.This procedure is more extensive then simple hymen repair and recovery time is 5-7 days.
Alloplant:
If you hymen can't not be restored, a Tear-through biomaterial will be insert and act as your hymen. Hymen implant is an easy procedure than can be done under local anesthetic and as a day case surgery. It takes less than two hour and patient can return to work the next day. It is not easy to notice it is not a real hymen. The girl can then be passed off as a virgin.

It is procedure that can be done under local anaesthetic and done as a day care surgery.
The sutures are dissolvable. One should allow it to heal and avoid intercourse.
 
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