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What is Vaginal Reconstruction?

Vaginal reconstruction surgery, also known as vaginoplasty, is a process that occurs when the vaginal canal undergoes reconstruction. In addition, vaginal reconstruction can refer to the process in which a vaginal canal is constructed, such as in gender reassignment surgery. When performing these types of surgeries, physicians typically try to maintain the mucous membrane of the vaginal canal as much as possible. Assuming that the integrity of the ovaries and uterus are maintained, biological women who undergo this type of surgery are usually expected to continue menstruation. Depending on the severity of the case, vaginal childbirth may even be an option.

Illness or injury most often results in the need for vaginal reconstruction. Some common examples of conditions that may require vaginal reconstruction include cancer or severe infection. In addition, in some women, reconstruction may be required due to genetic malformation. A vaginal rejuvenation refers to a particular type of vaginal reconstruction that tightens the muscles of the vaginal canal. This surgery is most often used to reduce stretching associated with childbirth. Other types of vaginal reconstruction, such as labia reduction surgery, can also be performed.

Gender reassignment surgery is a process that requires complete vaginal construction. In this type of surgery, the penis is usually inverted to form a vaginal canal. The erectile tissue of the penis must be removed in this surgery, along with the blood vessels and nerves that supply it. Gender reassignment usually requires a number of surgeries, and can take months or even a year to be completed.

Vaginal reconstruction surgery is considered by most physicians to be quite safe. Follow-up visits are required, however, on a regular basis for several months in order to ensure complete healing. Most women who undergo this form of surgery are able to safely and comfortable engage in sexual intercourse. In some cases of vaginal construction, such as gender reassignment surgery, patients may be required to undergo psychological counseling before receiving the surgery. This is to ensure that the individuals undergoing the surgery are mentally sound and able to deal with a major life transformation.

It is important for those who are considering vaginal reconstruction to be aware that this procedure is not always covered by insurance. This is especially the case for cosmetic types of surgery, such as gender reassignment or labia reduction surgery. Those who are considering these procedures should speak with their physician to determine total cost before committing. While these procedures may require out-of-pocket payment, many physicians allow payment plans for patients who are not able to pay for the entire surgery up front.

Discuss this Article

turquoise
Post 3
@turkay1-- That's a great question. As far as I know, in complete vaginal reconstruction, the capacity of arousal and orgasm remains almost the same as before. Of course, it can't be exactly the same as a female vagina, but very similar.

While the surgeons invert the penis and complete the vaginal cosmetic surgery, they try to save as many of the nerves as possible. They also re-position the nerves during the construction. In addition to these nerves, the patient also maintains some of the tissue that is responsible for erections.

So basically, the result is a vagina that is as functional as any other.

candyquilt
Post 2
We learned about the "Hijra"- the caste of transsexuals in India- in class this week. My instructor was talking about how "surgeries" to construct a vagina has been taking place for a long time in India and elsewhere.

Of course, in the past, many of these transsexuals didn't have access to medical care and surgeons who can do complete vaginal construction. They often had these surgeries very primitively and were basically castrated and lacked the vaginal canal.

It seems like gender reassignment and vagina reconstruction has come a long way and my instructor said that the results are unbelievably good and realistic nowadays. I was hesitant to ask in class, but I'm curious -- are individuals who have this surgery able to experience orgasm and arousal afterward? Or are the nerves that allow this completely lost during the reconstruction?

fify
Post 1

Great article and great information. In fact, I wish I had discovered it before I committed to my vaginal reconstructive surgery for vaginal wall tightening.

The only thing I want to add is that vaginal reconstruction, no matter how minimal the procedure might be, does cause pain and requires a minimum of several weeks of recovery time. That means that you need to be home and resting and taking care of yourself for several weeks or maybe more after surgery.

Before I had surgery, I was told that I would be back up on my feet in no time. That might be true for some women, but it was not the case with me. I had substantial pain

for several weeks and basically stayed home with pain killers and an ice pack the whole time. It was painful to walk and even go to the bathroom for a while.

Of course, you can have intercourse after you have vaginal reconstruction, but you have to wait until you are all healed. I was told not to have intercourse for at least a month and a half. I chose to wait for close to three months.

So please keep these issues in mind before going ahead with the surgery.

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