Is there anything I can do to clean myself in a way that avoids post Labiaplasty pain? Are yeast infections more common because of this?
Labiaplasty Aftercare Hygiene?
Doctor Answers (11)
Post operative labiaplasty instructions
Prior to a labiaplasty, I have all of my patients purchase a spray bottle and a sitz bath. They should spray water each time they urinate to keep the area clean. ANtibiotic ointment is placed 4-6 times per day to keep the incision line moist. I also give a presciption for either lidocaine spray or gel to help with post operative pain in addition to oral pain meds. Yeast infections are a result of the antibiotics given to prevent bacterial infections. In patients who know they are prone to these infections, I will often givea presciption for an anti-fungal medication and have them fill it as needed after discussing with me. Hope that helps.
The surgical site should not be exposed to the sun (this includes tanning) until completely healed.
During the first two weeks, showering is allowed, followed by the application of a light layer of Polysporin and a small gauze, worn in the underwear. When cleaning, be very gentle.
Pain is not a common complaint from my patients.
As long as you are following all the necessary steps to minimize swelling, the pain should be minimal. More cleaning does not mean less pain. You can shower normally the day following surgery but avoid bathing. The sutures can dissolve too quickly if you wash or soak the area too much. Yeast infections don't happen as a result of the surgery. The most common reason for a yeast infection would be if you had to take antibiotics following surgery to treat an infection somewhere else in the body.
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Gentle cleansing, and avoiding excessive washing or rubbing (so as not to prematurely dissolve your sutures), while avoiding infection (yeast or bacteria) will allow your tissues to heal in this warm, wet, and constantly-moving area. Sitting on a toilet or any surface puts incredible stresses on healing surgical wounds, and it seems a miracle that we can get these areas to heal up at all!
But they do, in most cases, by just following the rules and not doing ANYTHING to excess, including what seems like "good" things, such as washing. One of my most recent labiaplasty patients was so obsessive about cleanliness and trying to avoid odor that she scrubbed her genital area multiple times each day and multiple times after each urination. It's a wonder she only tore open two small areas of her suture line. They can't be "re-closed" in many cases, so getting things right the first time is crucial to a good result.
There are good medications (oral, and topical if your doctor allows) that can treat yeast infections that commonly occur with oral or topical antibiotics, so ask your surgeon about this and don't obsess about "keeping it clean." Often too clean is worse than just letting things heal with as little intervention as possible. Obviously, it's a fine balance, so talk (and listen) to your surgeon.
Pain is not as bad as most women worry about, but there are good pain medications that can help you for the few days they are usually necessary. I know there are many questions on this site about excessive pain many days and even weeks after the surgery, but that is truly not the norm--these are the exceptions asking for help. Best wishes! Dr. Tholen
Post Labiaplasty Yeast Infections
Post labiaplasty yeast infections are most likely due to oral antibiotics given around the time of surgery. It is appropriate to take such antibiotics to decrease the chance of bacterial infection, but unfortunately this sometimes opens the door to yeast infections, which by the way are easier to treat.
I have my patients shower the day after surgery, washing this area gently with soap and water. Gently spraying this area with soapy water each time you use the bathroom will help keep this area clean. After each washing, gently pat the area dry with a clean towel or hand cloth. Topical antibiotics for 3 days is appropriate.
If you develop a yeast infection, your surgeon can prescribe an oral medication which should clear up the yeast problem in a day or so.
Labiaplasty: care after sugery
I agree with all of the answers below:
- warm sitz baths
- soapy water
- antibacterial cream
- cool compresses
- gentle hand held shower
Labiaplasty aftercare and hygiene
I usually have patients shower or sit in a warm bath tub begining 24-48 Hr after a labiaplasty. I also have them use a topical antibiotic ointment for the first 1 to 2 weeks following the procedure. However, I would avoid hot water or heating pads as this can increase swelling and pain. Cool moist compresses can help with initial swelling and discomfort. Labiaplasty should not increase the risk or frequency of yeast infections.
Labiaplasty Aftercare Hygiene
You should follow your doctor's post operative instructions. I let all my patients shower after 24 hours. My patients are instructed to get a water bottle to rinse after using the bathroom and then pat the area dry. We don't want them wiping and accidentally pulling on the stitches.
Yeast infections are probably related to the use of antibiotics before and/or after surgery. It is best to contact your doctor if you suspect a yeast infection and not just use over the counter medications.
Labiaplasty aftercare key to reducing pain and infection
Aftercare following labiaplasty is very important so that you can reduce swelling and infection. I ask the patients to purchase compression shorts, a water bottle and antibiotic oinment. After surgery I have the patients wear ice and place it on the labia, 24/7 for 3-4 days. i also ask the patients to wash every time they urinate or have a bowel movement with a water bottle filled with soapy water squirted over the labia. the area is then dried, antibiotic oinment is placed. This has seemed to help a lot
Because the labia have such a robust blood supply, they are relatively quick to heal after Labiaplasty and resilient, although not immune, to infection. "Post Labiaplasty pain", like pain after any other surgical procedure, is variable from one patient to the next. I recommend patient use ice to the area for the first 48 hours in combination with a specially designed topical anesthetic cream, and an oral narcotic as needed for the first 4 -5 days. Most of the pain is resolved by then and most patients can switch to Advil and Tylenol.
The most common cause of yeast infection following Labiaplasty is overuse of antibiotics, especially topical antibiotic ointments/creams applied direct to the area. For this reason I typically have my patients take a short 5 day course of oral antibiotics starting the night before surgery and topical antibiotic ointment for only 3 days following the surgery. However, there are different acceptable ways to do it and every surgeon has his/her own routine so it is most important to follow your surgeons recommendations. Best of luck...RAS