Surgical Vaginal Tightening

What is Surgical Vaginal Tightening?

As the name implies, this operation is aimed at correcting the laxity of the vagina and make it tighter. Other names for it are vaginoplasty and vaginal rejuvenation surgery. Vaginal laxity is usually caused by a combination of factors like vaginal birth, age, poor collagen, smoking and coitus. Many women seeking this operation complain that intimacy with their partner is no longer the same, frequently used phrases include the following –

“ I cannot feel anything any longer… I don’t feel him when he is inside me …. ”;

“? he cannot feel anything, and neither can I….its frustrating…”;

“… he says nothing has changed, but I know he just being polite….”;

“… I just feel very loose down there, and sex really is no longer the same….”;

Since for most women orgasm is achieved from clitoral stimulation, they report that they are still able to achieve orgasm, but they crave the sense of “grip” they once enjoyed during intercourse.

Although the procedure can be done as an office procedure under local anaesthesia or sedation, our experience is that most women would rather be asleep (general anaesthetic), during this operation. We also tend to advise an overnight stay because occasional some women have difficulty emptying their bladder in the hpurs following the procedure, and therefore it is better to looked after by health professionals over-night.

Before we recommend you have this procedure, you will have an initial consultation with either Professor Manyonda or Miss Gupta. During this consultation we will also assess you by performing internal examination. You will be given a detailed questionnaire to fill in. After we have ascertained your problem, expectations and done an objective assessment, we will recommend a procedure that best suits your need. This can sometimes be a combination of procedures. We will also give you information on the costs involved. 

The procedure will usually be performed in Haumea clinic jointly by Professor Manyonda and Miss Gupta. However depending on where you live, you can also choose to have this done either at Parkside Hospital in Wimbledon under care of Professor Manyonda or Clementine Churchill Hospital in Sudbury Hill under care of Miss Gupta.

In this procedure, a triangular incision is made on the posterior wall of the vagina with it’s horizontal base on the perineum (the area between vagina and anus) and apex 4-6 cms high up in the vagina. Dissection can be done by knife/scalpel and the skin is closed by absorbable suture.

Immediate side effects are bleeding, haematoma (blood collection), and infection. The delayed complications are wound dehiscence, granulation tissue, scarring and dyspareunia. 

We recommend that you stay at home for 7 days following the operation. We will give you a detailed post-op instruction sheet which details the do’s and don’ts, and explains about personal hygiene, pain relief and antibiotics. You will be given adequate pain relief as well as laxatives to keep your stool soft. You must take care of the local hygiene and avoid soap and rubbing the area. Always wash with abundant warm water and keep the area dry. Avoid pilates, yoga, lifting heavy weight and laser epilation for a minimum of 1 month. Avoid intercourse for 8 weeks. 

You will have a follow up either with Professor Manyonda or Miss Gupta at 1 week and 6 weeks, either at the Parkside Hospital or Clementine Churchill Hospital

FAQ's

What is it?

As the name implies, this operation is aimed at correcting the laxity of vagina and make it tighter.

What contributes to vaginal laxity?

Vaginal birth, age, poor collagen, smoking and coitus contribute to vaginal laxity. It is usually the combination of these factors rather than one single factor.

Is this the same as posterior repair?

It is similar to it. However posterior repair also includes correction of rectocele (herniation of the back passage through the posterior wall of the vagina) and reconstruction of the perineal body (group of muscles underneath the tissue bridging the introitus and the anus).

Can it be done under local anaesthesia?

Although the procedure can be done as an office procedure under local anaesthesia or sedation, our experience is that most women would rather be asleep (general anaesthetic), during this operation. We also tend to advise an overnight stay because occasional some women have difficulty emptying their bladder in the hpurs following the procedure, and therefore it is better to looked after by health professionals over-night.

Does it improve functionality?

The majority of women we have operated on report satisfaction with the outcome of their operation. It is important to recognize that this operation is aimed at tightening the vagina, and we accomplish this. The achievement / attainment of orgasm cannot be enhanced by this operation.

Side Effects / Complications

Immediate side effects are bleeding, haematoma (blood collection), and infection. The delayed complications are wound dehiscence, granulation tissue, scarring and dyspareunia.  Fortunately these complications are very rare, occurring in a maximum up to 4%.

Post-operative care

We recommend that you stay at home for 7 days following the operation. We will give you a detailed post-op instruction sheet which details the do’s and don’ts, and explains about personal hygiene, pain relief and antibiotics. You will be given adequate pain relief as well as laxatives to keep your stool soft. You must take care of the local hygiene and avoid soap and rubbing the area. Always wash with abundant warm water and keep the area dry. Avoid pilates, yoga, lifting heavy weight and laser epilation for a minimum of 1 month. Avoid intercourse for 8 weeks. 

Follow up

You will have a follow up either with Professor Manyonda or Miss Gupta at 1 week and 6 weeks, either at the Parkside Hospital or Clementine Churchill Hospital

How long does it take to perform

45-75 mins

The technique of surgical vaginal tightening

A triangular incision is made on the posterior wall of the vagina with it’s horizontal base on the perineum (the area between vagina and anus) and apex 4-6 cms high up in the vagina. Dissection can be done by knife/scalpel and the skin is closed by absorbable suture. 

Professor Isaac Manyonda

Professor Isaac Manyonda
c/o Parkside Hospital, 53 Parkside, Wimbledon, London, SW19 5NX

phone icon Secretary / PA Natasha -
00 44 208 9479877


Consulting Hours

Tuesday: 14:00 – 17:00hrs
Tuesday: 17:40 – 20:00hrs
Thursday: 17:40 – 20:00hrs
Saturday: 08:00 – 12:00hrs

Miss Sahana Gupta

Miss Sahana Gupta
c/o Clementine Churchill Hospital, Sudbury Hill, Harrow, Middlesex, HA1 3RX

phone icon Secretary / PA Pauline -
00 44 7422 502 486


Consulting Hours

Monday: 08:00 – 12:30hrs

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