Risks, Side Effects and Complications of the Vaginoplasty/Posterior Vaginal Wall Repair

 1) Dizziness after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • shutterstock_178580552bullet_tickNausea and vomiting may be experienced, as a side effect of the Sedation Anesthesia or the General anesthesia, which is noted to be relieved as soon as its effect wears off.

2) Post-operative pain after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickPain at/or around the surgical wound may be felt as soon as the anesthetic wears off, which is relieved by pain medications prescribed.
  • bullet_tickOccasionally, you may experience swelling, itchiness, irritation or tightness around the surgical wound. You should refrain from working because it may cause bruising. In case of swelling and severe pain in the surgical area, please do not hesitate to come to see Dr. Vitasna.
  • bullet_tickA few days after the vaginoplasty/posterior vaginal repair, you may experience an urge to pass stool (straining) and a sense of incomplete emptying even after the enema before surgery. This is caused by the sutured posterior vaginal wall between rectum and vagina. Taking a rest is recommended to reduce this symptom. Laxatives will be given to prevent constipation.

3) Urinary frequency or difficulty in urination after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickUrinary frequency or difficulty in urination may be noted a few days after the vaginoplasty/posterior vaginal repairdue to the tightening of the vaginal muscles immediately after surgery, which is expected to gradually disappear after the vaginal muscles have started to loosen up a bit. After the surgery, some women less than 1%, may experience the difficulty in urination and may be catheterized for 2-3 days to prevent cystitis.
  • bullet_tickSome women may subsequently experience the difficulty in urination after back home, especially in the first 5-7 days after the vaginoplasty/posterior vaginal repair. If so, please contact the Hospital to ask for advice or please come to see Dr. Vitasna for the treatment of the cystitis caused by the retention of urine.

4) Abnormal bleeding after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickAbnormal bleeding which may lead to blood clot formation is very seldom noted and occurs in 1 % of 100 surgeries and the blood loss is not severe. In such instances Aspirin and other anti-coagulant drugs should be avoided at least 10 days before and after the scheduled surgery.
  • bullet_tickIf excessive bleeding from the surgical wound occurs after the vaginoplasty/posterior vaginal repair, all expenses for services and treatment for this post-surgical complication will no longer be charged to you. However, if the bleeding or other complications occur due to your non-compliance with the doctor’s orders, you will be charged accordingly.

5) Abnormal vaginal discharge after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickYou may experience abnormal vaginal discharge, a green-yellowish discharge, after the vaginoplasty/posterior vaginal repair because the vagina is full of secretion fluid and various kinds of bacteria, causing reaction to the surgical wound and suture. In case of smelly vaginal discharge, you have to take additional medications.
  • bullet_tickYou may experience itching or curd like discharge as a result of vaginal fungi, possibly following taking antibiotics to avoid postoperative infection. In case of vaginal fungal infection, you have to take oral anti-fungal medication or suppository.

6) Inflammation or infection after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickAfter the vaginoplasty/posterior vaginal repair, inflammation or infection of the wound may occur because the surgical wound is in the vaginal opening area constantly being prone to contamination with fluid from the vaginal tract, urinary tract and alimentary (fecal) tract.
  • bullet_tickMostly the inflammation or infection after the vaginoplasty/posterior vaginal repair may happen to any women who fail to follow the post operative instructions, have existing diseases such as diabetes, or have vaginal infection before the surgery.
  • bullet_tickDuring the inflammatory phase of healing, which last up to 2-4 weeks after the vaginoplasty/posterior vaginal repair, sloughing off of tissues or necrosis can be observed due to the retention of moisture in the surgical wound in the vulvovaginal area. This should not be a cause of worry because it may happen in a process of healing of the surgical wound at the perineum area.

7) Leakage (Fistula) between vagina and neighboring organs after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickLeakage (Fistula) between bladder and vagina (or rectum and vagina) is theoretically considered a rare complication. In this respect, if you have some vaginal body fluid with feces-like smell, please inform Dr. Vitasna immediately for prompt diagnosis and treatment of such symptom.

8) Unsatisfactory results after the Vaginoplasty/Posterior Vaginal Wall Repair 

  • bullet_tickThe vaginoplasty/posterior vaginal repair has limitations and cannot absolutely ensure results and satisfaction. The procedure may result in incomplete tightening of your entire vagina depending on your former anatomical structure.
  • bullet_tickIn case of unsatisfactory results, correction surgery may be performed as appropriate and possible. In this respect, you and the physician should come to discuss for the solution together.
  • bullet_tickIf correction surgery wound occurs from the complication of the vaginoplasty/posterior vaginal repair, all expenses for services and treatment will no longer be charged to you. However, if the unsatisfactory results occur due to the complication from your non-compliance with the doctor’s orders, you will be charged accordingly.

Check-up: Dr. Vitasna usually requires you to come for a follow up check-up 1-2 weeks after the surgery. Please do not hesitate to contact us  with any questions or concerns.