Pain After Vaginoplasty

A week after vaginoplasty, I'm still get a piercing kind of pain in my vaginal area, along with a little white discharge. Is there a problem or will it settle down once the stitches completely dissolve?

Doctor Answers (6)

Please see your doctor.

+5

I am sorry that you are having difficulty. Sounds like something is going on that needs to be evaluated by your doctor. Vaginoplasty can mean different things by different people. Some doctors will use the word vaginoplasty when they are doing a labial reduction only. Other doctors use the term vaginoplasty when they are operating on the introitus (the entrance to the vagina). After labial reduction you should not have very much pain at all. Patients in my practice say that it is not painful. Surgery on the vagina can be slightly more painful if work was done on the muscles of your vagina.

What you describe needs to be evaluated. May just be a suture abscess (basically a localized infection around a suture-like a big pimple), and this can be very painful. However there may be a bigger problem that needs treatment.

Hope this helps.


New York Plastic Surgeon
5.0 out of 5 stars 3 reviews

Post vaginoplasty pain is very common

+3

Post Vaginoplasty pain is very common and typically related to muscle spasms from the repair. In many instances this is unavoidable and quite similar to what we observe following muscle repair in abdominoplasty.

In the initial post-operative period the pain can be managed with narcotics (vicodin or norco) with the use of muscle relaxants such as valium or flexeril. Later in the healing period anti-inflammatory medications such as motrin or celebrex may be useful due to their non-sedating qualities. In rare instances of severe pain suppositories are available for localized delivery of relief.

Later in the course of your healing, many physicians will advise a course of vaginal massages with dilators or digital stretching to help soften the scar and prepare you for vaginal penetration in the course of normal sexual activity. Kegel exercises will help strengthen maintain and support the repair.

The whitish drainage you descibe may be one of several things. It is most likely suture reaction. However, it sounds early for this adn generally appears and increases 2-4 weeks after surgery. At this point in time it may be an early yeast infection but this will become more apparent and is associated with pain, whitish drainage/discharge, odor and itching. This may require medical therapy.

Once you are comfortable with the exercises, it is likely that at 8-12 weeks after surgery, you can resume sexual activity with little concern for causing any problems.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 43 reviews

Pain After Vaginoplasty

+1

It is not unusual to experience pain and some discharge following vaginoplasty in the first week.  In addition to mucosal reduction the vaginal muscle sling is also tightened and that will be the source of some pain and it settles down. Follow-up with your Plastic Surgeon is essential.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 37 reviews

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Vaginoplasty recovery.

+1

What you describe is normal for one week following vaginoplasty surgery.At this time  it is common to have both pain and a small amount of  discharge. Both  should improve with time. . Make sure you fowwol up with your surgeon at regular intervals.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 41 reviews

Pain and Discharge afetr vaginoplasty

+1

One week after surgery it is common to have both pain and discharge, however both copnditions should improve with time. With a true Vaginoplasty, there can be pain and tightness for several weeks. Make sure you fowwol up with your doctor.

Johan E. Brahme, MD
San Diego Plastic Surgeon
4.5 out of 5 stars 13 reviews

There is pain after vaginoplasty if muscles were tightened

+1

If the muscles were tightened, as well as portion of the lining of the vagina. You will have pain for thre to six weeks.

If the muscles were not tightened there should be no pain after the first week.

The discharge should be investigated by the surgeon. It could be due to infection or if you are on antibiotics it could be yeast infection. Either way it must be checked.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.