How long does it take to heal?

The healing takes approximately 10 days. Usually at this level no removable skin wires are used except for absorbable wires. Hygiene conditions must be very good, the patient is instructed how to wash herself with hot water and soap after every urination.

It could also use various powders or disinfectant balms (according to doctor's advice).

How much time after the surgery can I resume sexual life?

Sexual life could be resumed immediately after healing. The best recommendation would be a post surgical sexual rest of 3 weeks.

Is this a painful surgery?

No, it is not a painful surgery due to it takes place under general anesthesia when associated with other procedure, or upon request.

In case it is simple, a local anesthesia is recommended, which is highly efficient and enough long to cover the entire surgery period.

What do the pre surgical preparations consist of?

Before the surgery a series of blood tests must be performed to exclude the possibility of blood coagulation issues. The vulval area is extremely well vascularized and bleeding could be abundant.

With not less than 2 weeks before the surgery you most stop taking any drug, except for those prescribed by your surgeon. Few days before the surgery the vagina will be cleaned with worm water and vaginal antiseptic agents, and then a betadine bolus will be inserted in the vagina.

The last meal will be served the evening before the surgery day, the meal being comprised of food easy to digest. After this it is forbidden to eat, drink water or chew gum. The stomach must be emptied of drainage and food in case it is decided that the surgery is performed under general anesthesia.

What do the post surgical care consist of?

After the surgery, due to the bleeding risk, it is required that you remain in the clinic under medical surveillance for 24 hours.

Upon dismissal you'll be prescribed a series a antibiotic, pain control medication, anti inflammatory drugs, and for vagina cleaning some betadine bolus. Antiseptic powder is welcomed and must be applied following every wash with water and soap. It is preferred to use special soaps in this area due to these are not so aggressive and encourage healing. Betadine soap is also very useful. Bandage is not mandatory if you stay home.

Underwear is not mandatory in house. In case you go out you must use an external vulval pack and panties not too tight.
Don't wear tight pants at list for 3 to 4 weeks following the surgery. It is contraindicated to ride a bike, the seated position for more than half of hour without break, for a period of not less than 4 weeks after the surgery. The massage of the surged areas is forbidden for not less than 4 weeks.

Which are the complications of the surgery?

As a result of the surgery there is the risk of massive bleeding and this is the reason for which you must stay in the clinic for 24 hours. Afterwards, some ecchymosis (bruises) on variable areas might occur, usually located in the perineal region that sometimes could get lower on the thighs sometimes.

If the hygiene is not perfect the surged wound could get infected.