How much is the cost of vaginaplasty (vaginal tightening) after childbirth.
What is the Cost of Vaginoplasty?
Doctor Answers 6
The price of vaginoplasty
This varies tremendously on the procedure to be performed. I will briefly discuss these:
- At the time of delivery, repair of the episiotomy will often entail reapproximation of the bulbocavernosis muscle using the so-called "crown stitch" also commonly derogatively referred to as the "husband's knot". This is typcially considered part of the delivery and may be covered.
- If performed at a later date, this procedure can be elective and considered a perineoplasty or episiotomy reconstruction. Depending on the provisions of your insurance plan, this may be a covered benefit. If not the procedure fees may total anywhere from 1500-3500 USD
- More extensive procedures are referred to as vaginolasty, posterior repair, levatorplasty.etc. These involve tightening the entire backside of the vagina along a significant portion of the length of the vagina. This typcially requires more extensive surgery, recovery and expenses. Total fees can vary from 3500-9500 USD. Insurance typically does not cover this procedure unless an associated rectocoele is repaired in the process.
- Occasionally patients will experience advanced pelvic laxity due to birth trauma which is commonly associated with prolapse, cystocoele, and/or rectocoele. Patients can report symptoms of stress urinary incontinece, fecal retention or constipation as well as protrusion of the uterus from the vagina. In these advanced cases repair may entail fixing the front wall of the vagina (anterior repair) or even involve an abdominal approach. These are typically performed in combination with a urologist or urogynecologist. These are quite extensive procedures and may involve fees that range from 3500-20,000 USD and higher depending on the nature of the procedure. This is more likely to be paritally covered by your health insurance plan.
I hope this helps explain the complex nature of the options involved.
The Cost of Vaginoplasty depends on how much work needs to be done
First, ask if there is a consultation fee. If so, ask if the fee will be credited toward the surgery if you decide to go ahead.
Second, ask if your medical insurance will cover any related charges such as bloodwork testing, prescriptions, etc. In some cases, where medically indicated pelvic floor reconstruction is found to be necessary, the insurance might even cover the cost of surgery - don't get too excited, these situations are exceptions, but it never hurts to ask.
Third, ask if there is a facility fee. This is the cost of "renting" the operating room for your surgery. If the surgeon conducts the procedure in-house, the facility fee will be lower or absent. Don't forget to ask what the facility fee does and does not include (e.g. nursing, anesthesia, recovery). Ask if the cost is independent of the duration of the surgery or whether it's on the meter like a taxi (by the hour, by the 15 min block, etc).
Fourth, ask if there is a charge for anesthesia. These procedures are conducted via local, IV sedation, or general depending on the circumstances. Local is cheap, but not always an option. General is usually most expensive and not always required. Ask if the cost is independent of the duration of the surgery.
Fifth, ask if there will be a surgical assistant fee. This may be another surgeon, or a professional scrub tech.
The only thing left is the surgeon's fee. Of course, quality doesn't come cheap, but if you've done your homework on steps 1 through 5, you'll make the best use of your resources.
In my practice, I use a global fee that covers everything except the anesthesiologist.
Don't forget to ask if there is a charge for followup visits to monitor your healing. Few if any surgeons would charge for this service, but if you don't ask...
Also, ask about your surgeon's touchup policy. If he/she does touchups that require a steep facility fee, you might get stuck the bill even if they don''t charge a surgical fee.
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What is the cost of vaginoplasty?
The cost of a labiaplasty, all included, is $4500, including the consult. I cannot comment on the specific cost of a vaginoplasty.
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.