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GENITAL SURGERY

Vaginoplasty

The term vaginoplasty can be used for different vaginal repair or reconstruction procedures. The complaint should not be evaluated as a single procedure without clarifying the anatomy and treatment purpose.

PATIENT INFORMATIONAbout 3 minutes readingReturn to genital area topics
Prof. Dr. Koray Coşkunfırat is smiling at his desk in his office.
Prof. Dr. Koray Coşkunfırat is in his office.

Overview

Vaginal width and genital anatomy naturally vary between individuals. Width perception, pelvic organ prolapse, postpartum support tissue damage and pain are different situations. If there are urination or defecation complaints, gynecology or urogynecology evaluation is required. Since the name vaginoplasty can also be used for reconstruction of congenital deficiency or gender affirmation, the purpose of the proposed surgery should be clearly defined. These comprehensive procedures may require referral to a multidisciplinary center experienced in the relevant field. Treatment decisions are made through an consultation that respects body diversity, protects privacy, and is based on the person's goals. Tightening is not a guarantee of increased sexual satisfaction or function.

What is evaluated?

  • Pain, sagging sensation, urinary and bowel complaints are evaluated separately.
  • Birth and previous surgery history, pelvic floor function, and planning for having children are discussed.
  • The cosmetic, functional or reconstructive purpose of the proposed procedure is clarified.

Approach and options

  • In complaints related to the pelvic floor, appropriate physiotherapy and cause-specific treatment can be evaluated.
  • If prolapse is detected, appropriate support devices or urogynecological repair options can be discussed.
  • Selected surgical or reconstruction requirements are individually planned by the relevant expert team.

Recovery and follow-up

Healing varies significantly depending on the extent of repair performed. Sitting, exercise and return to sexual activity are evaluated at check-ups; Some reconstructions require special long-term care. Pain and pelvic floor function are monitored. Even when the wound is closed, it may take longer to evaluate comfort and function.

Risks and limits

  • Bleeding, infection, or wound healing problem
  • Painful intercourse or persistent pain
  • More than desired narrowing and scar development
  • Persistence of complaints or need for additional action

The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.

You can ask in the consultation

  • What is the exact name of the proposed surgery and the problem it targets?
  • Is pelvic floor physiotherapy or other supports suitable for me?
  • Who will monitor long-term care and sexual comfort?

Resources

Access to sources: September 2026. The content has been prepared for general information purposes.

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