How to deal with vaginal dryness after Bartholin & Skene gland removal?

thank you for your question Vaginal wetness is actually mostly plasma. When a man gets excited his penis engorges with blood. When a woman gets excited she also engorges with blood which pushes plasma into the vaginal canal. When you had a vaginoplasty they removed a section of vaginal skin which in turn reduced the amount of moisture passing into the vagina from the engorgement. A way to increase moisture is to increase blood supply which can be done with radio frequency (Thermiva for example)

Neither a vaginoplasty or a perineoplasty removes the any of the glands that you are discussing. Both procedures involve the posterior vagina. The glands you are discussing are in the anterior or upper vagina. The dryness you are experiencing may be due to you hormone levels. If you are nearing menopause you will start to notice that your vagina is not a moist as before. I suggest you have an examination by your gynecologist and discuss your vaginal dryness. Have an examination to check to see if you vaginal mucosa is drying out due to vaginal atrophy. This is caused by decreasing estrogen.
There are many options to treat vaginal dryness. Discuss this with you gynecologist.

Sorry to hear that you are not back to normal again. There are several reasons for vaginal dryness, but having a vaginal reconstruction isn't one of them. I recommend you consult with a gynecologist familiar with sexual medicine. Women begin to experience decreased lubrication in their 40s and sometimes earlier. Pelvic floor reconstruction with or without a vaginoplasty does not involve removal of these glands and they do not create decreased lubrication.
These surgeries have other potential risks such as pain with intial or deep penetration which in turn may create a lack of desire or decreased sexual response resulting in poor lubrication. The key is having a detailed examination to look for the source of decreased sexual response which may be scar tissue, recurrence of laxity, vaginal atrophy from decreasing hormonal production, etc.
Best of luck,

Your Skene's glands, located around your "G-Spot" in the upper vaginal wall just inside from your urethral opening, is not touched with a classic vaginoplasty/vaginal reconstruction procedure. However, if you've and an "Anterior Repair" from a surgeon not savvy with the anatomy of the anterior vaginal wall, your Skenes glands may (unlikely!) be disturbed. But, Skene's don't supply vaginal lubrication. Actually, vaginal lubrication is from the vaginal epithelium, really not affected with a vaginal reconstruction. However, if you are nearing menopause, this event will diminish interior lube unless you are using inter-vaginal estradiol or estriol. Regarding exterior lubrication (that lovely clear "slimy stuff" that supplies lube to the opening,) this may be disturbed by the perineoplasty portion of vaginal reconstruction. But, do not despair: the use of lube (coconut oil, other light oil, silicone-based lube, etc.( lovingly applied to both your lover's penis or "toy," plus to your vulvo-vaginal opening will obviate any dryness issues at the opening.

Best, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA. "...The Revision Specialist!"

I do agree with my college who posted his answer with regards to "vaginal reconstruction" or vaginoplasty" does not remove the Bartholin's glands and I must add to his writing that vaginal reconstruction should also not remove Scan's glands. The vaginoplasty term is used by my college is colloquial expression and should not be used by surgeons since it is inappropriate term for cosmetic-plastic gynecology. In urogynecology or in medicine it refers to the vagina de-novo creation. I see in my corrective cosmetic-plastic surgery consultation, either both Bartholin's glands being removed or Bartholin's ducts occluded after vaginal tightening.
Q: Is postsurgical vaginal dryness reversible?
A: Yes, it is possible, and it greatly depends upon what the surgeon does during the operation.Both symptoms that are presented here are
a) pain on insertion (superficial dyspareunia);
b) vaginal dryness; they are both very complex and severe complications. Corrective surgery can help with superficial dyspareunia. Vaginal dryness also can be treated surgically by the Bartholin's’ gland transposition. However, reconstruction of the vaginal outlet and revision of traditional perineoplasty must be changed. I developed a new modified perineoplasty based on my anatomical and clinical research. In many instances, modified perineoplasty is enough to re-establish natural function following inappropriate executed traditional perineoplasty surgery.Vaginal dryness (diminish of lubrication) is a different medical entity and needs various therapies that depend on underline causes. There are three different sources of vaginal lubrication:
1. The vaginal wall transudate mechanism that is responsible for maintaining vaginal mucosa moisture. This mechanism function by blood filtration, and blood pressure pushes out fluid from tiny vessels (the capillaries). Laser surgery or other thermal-equipment can destroy this mechanism, by scaring and today, the only treatment is to use artificial vaginal lubricants,
2. Bartholin's glands are the vaginal vestibule structure and not the vaginal wall one (can lubricate the vaginal outlet and the part of the posterior-distal vaginal wall directly), 3. Skene’s glands (the periurethral glandes) are also vaginal vestibule glands,
4. The uterine cervix (the mucus secretion can be compromised by applying thermal types of equipment.
Therefore, this postsurgical condition requires doctors who will have the skills and knowledge in gross, functional, topographic, and surgical anatomy as well as vaginal and crotch physiology to evaluate your situation induced surgically. Today, patients request consultations associated with these conditions worldwide since these complications are rising due to the increasing use of thermal-equipment. Unfortunately, the safety and effectiveness of this equipment have never been studied.
Kind regards,
Prof. Dr. Adam Ostrzenski
USA