Genital Repair
The word "aesthetic" can be offensive.
Some people in our society believe it's unnecessary.
In reality, it's a surgical procedure that involves anatomically correcting the shape of the female internal and external genitalia.
Priority is given to patients who first undergo a vaginal and vulvar examination to identify any problems. Any complaints patients have about their urination, bowel movements, or sexual life are thoroughly listened to.
Pelvic ultrasounds and tests are frowned upon.
If surgery is deemed necessary, doctors provide detailed information to patients and their partners to determine the duration, techniques, materials, and cost.
In short, these are surgeries that rejuvenate and repair the vulva and vagina.
In other words, it's wrong to immediately accuse patients and their surgeons of performing unnecessary work.
GENITAL REPAIR SURGERY IS PERFORMED FOR THE FOLLOWING REASONS: ANATOMICAL CAUSES:
CONGENITAL OR HORMONAL DISORDERS
1. Opening the folds of the clitoris (prepuce) alone is called vulvaplasty or clitoroplasty.
2. Reducing the size of the labia minora alone is called labioplasty.
ACQUIRED (ACCURRENTS)
The prolapse of the upper vaginal wall is called a cystocele, while the bulging of the posterior vaginal wall (the large intestine) forward is called a rectocele, and these procedures are performed to narrow the vagina.
4. Vaginal Laxity: Vaginal gas discharge during sexual intercourse or while bending or standing up, caused by birth trauma, traffic accidents, or nervous system diseases.
Vaginoplasty is also performed for vaginal laxity.
Poor healing of birth incisions can cause thick bands to form. These can cause pain and discomfort during intercourse, especially when the penis enters the vagina. A new episiotomy repair is absolutely necessary.
Giving birth is an art, and unfortunately, experienced professionals are not always available. Severe damage occurs to the vulva and vagina.
Vulva-vaginal repair surgery is essential, especially after numerous and careless vaginal births.
In recent years, there has been a school of thought that insists on a vaginal delivery, no matter what. Respect for the vulva and vagina is extremely important. 20-year-old girls who are about to give birth vaginally twice often notice the vulva's shifting, poorly healed scar tissue, and the dimples and gaps in the perineum, especially the patient herself and her husband. While being a mother is a wonderful feeling and a blessing, it's wrong to cause such a burden.
Traffic accidents, tumor surgeries, and radiation scars can also necessitate surgical interventions on the vulva and vagina.
PSYCHOLOGICAL REASONS:
Sexual pressures on women and misconceptions about their sexuality can lead to a loss of self-confidence and a feeling of worthlessness.
These women are initially helped by sexual counseling and a preliminary interview to determine the extent of the problem, and relationship therapy, along with minor surgery, can help them feel happier.
Genital aesthetics are never a luxury; they are often performed out of necessity.
A woman's dislike of her genitals, her desire to have sex in the dark, and her embarrassment of her vulva make it difficult to focus on sex and achieve orgasm.
In cases of body dysmorphic disorder (BDD), a person is never at peace with their body. They experience constant anxiety and dissatisfaction with their physical appearance. Even if we perform the most magnificent surgery on these individuals, they will always imagine a flaw and dislike it.
These individuals should first seek psychological support to understand why they dislike their bodies and why they focus on their bodies as the cause of their loss of self-confidence.
Often, these individuals do not have any anatomical defects. Another group of women seeks these surgeries because of disapproval and pressure from their partners (i.e., their live-in partners) or their married men.
As physicians, we examine these women extensively and listen to their complaints. If truly necessary, we recommend any necessary surgeries.
Women should make decisions for themselves, not because a man wants them, but for their own sexual lives.
Sometimes the opposite happens: surgery is truly necessary, but women, citing pride, refuse treatment. They frequently encounter women who refuse surgery despite experiencing vaginal infections, cervical erosions, foul-smelling discharge, perineal gaps extending to the anus, and loose, loose vaginas that allow a hand to easily enter and exit, yet still experience constant gas leaks.
They go there thinking, "I gave birth to three children for my husband, and I gave birth to two, so he should accept me as I am."
Tears created under the guise of natural childbirth are not repaired, and all microbes from the vulva easily pass into the vagina. Natural tears must be repaired correctly with appropriate suture materials after birth, and wound healing products and cleansing fluids should be administered. Our women are experiencing concerns about their vulva and vagina and may require surgery.
Whether the problem can be resolved solely with radiofrequency and mesotherapy, a thorough examination by a specialist in genital aesthetic surgery is essential for a thorough assessment and determination of the most appropriate approach.
Another factor that creates negative psychological pressure on women is the female vulvas in pornographic images.
Perceptions arise that the labia will be completely white, hairless, and the labia minora will be removed. While men's expectations are raised by looking at the breasts and vulvas of porn stars, many of whom may have undergone surgery or are selected, women are beginning to dislike their own genitals.
Even more troubling, the perversions in pornographic content are increasingly legitimized in men's minds, increasing the psychological pressure on women. The most common phrases these men utter are, "I can't feel the front of my vagina, I want to have intercourse from the back." While women often say anal intercourse is harmful and painful, some husbands convince their women that their vagina is inadequate by listing the deficiencies. If these women are examined and truly have a torn or loose vulva or vagina, they may undergo surgery. If surgery isn't necessary, vaginal laser and radiofrequency applications can be used to tighten the vaginal muscles. Pelvic floor exercises will also be very beneficial for these women.
In summary, before deciding on surgery, organic and psychological causes are investigated and a decision is made.
Which surgical or non-surgical method is required for each woman, and pre- and post-operative preparations are completed and planned.
GENITAL REPAIR SURGICAL PROCEDURES
1. Congenital clitoris and labia minora problems. Labiaplasty is performed, especially in young girls, for cases of enlargement and sagging that cause pain when walking or sitting, or that cause an unsightly bulge under their pants. and labiaplasty surgeries are performed.
2. In women of any age, sagging labia minora (small lips) that have enlarged for various reasons, such as those that are too dark and appear separate from the vulva, are reduced in size.
3. If the labia majora is wrinkled and sagging, fat or hyaluronic acid fillers are used.
4. If the labia majora is too plump and the Venus mount is swollen, these tissues are removed and reconstructed.
5. Vaginal dilation is performed in women who cannot have sexual intercourse due to excessive narrowness.
6. Constant vaginal gas sounds due to excessive laxity, resulting in decreased orgasm quality during vaginal intercourse.
7. Urinary incontinence when laughing or sneezing.
8. Visible ball-like pink tissue during bowel movements (cystocele or rectocele) when squatting or sitting. This means the bladder is prolapsed, the intestines are prolapsed, or herniated. This can be said.
9- Perineal rupture due to traumatic births. This means frequent infection.
10. Refractory fistula cases. This means vaginal urine or fecal discharge.
11- Anal sphincter insufficiency. If the anus is torn due to difficult births but not repaired, or if it has been repaired but the sutures have come loose and healing has not occurred, repair is necessary.
12- Congenital hymen anomalies. If the closed hymen, known as imperforate hymen, is not ruptured, menstrual bleeding cannot flow out and can cause serious complications.
13- Hymens that do not allow sexual intercourse are also opened by gynecologists, and sexual intercourse is initiated.