Labiaplasty Aftercare Hygiene?
Doctor Answers 13
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.
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.
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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.
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
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.
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.