Labiaplasty Surgery

Many people know that during the development process, the structure of organs has already developed well during the embryonic stage, and is fully developed after birth. Few people will encounter the problem of labia adhesion, so everyone does not know how to treat it. If you want to have surgery, you must first understand some issues in this regard.

Forcefully separating the adhesions of the labia minora is generally an unnecessary trauma, but in some patients, the adhesions do not loosen naturally after a certain period of conservative treatment; or in serious cases such as the adhesions reaching the urethral opening, affecting the direction of the urine stream and causing secondary urinary tract infection, surgical separation of the adhesions may be chosen.

Contraindications

There are local signs of acute infection in the vulva. In cases of redness, swelling or exudation, anti-inflammatory treatment should be given first. After the acute inflammation subsides, if the adhesions still do not loosen naturally, surgery may be considered.

1. Ask about medical history in detail.

2. Carefully check the adhesion site and range, pay attention to any signs of acute infection, use the little finger to perform a rectal examination, and pay attention to whether there are foreign objects in the vagina.

3. Perform urine analysis if necessary.

4. Prepare hemostatic powder and estrogen ointment (such as Premarin ointment).

Other preparations are the same as those for general vulvar surgery.

Anesthesia and positioning

1. Surface anesthesia or local anesthesia.

2. Take the lithotomy position.

1. The operator places the thumbs of both hands on both sides of the labia majora at the adhesion site, slowly applies pulling force outward, and gradually separates the adhesions by hand. A little bleeding and mucosal damage can be seen at the edges of the labia majora after separation. Hemostatic powder or estrogen ointment should be applied to protect the wound.

2. If the adhesion is severe and difficult to separate manually, you can use a small vascular forceps to insert it from the gap near the urethral opening, slightly open the forceps leaves, expand the midline of the adhesion, use a small sharp knife to gently cut the adhesion along the midline, and then apply hemostatic powder or estrogen ointment.