Vaginoplasty done awake?

Thank you for your question. Vaginoplasty can absolutely be done awake, at our center we do 99% of all vaginoplastys under local anesthesia with a combination of oral medication that keeps the patient calm and comfortable.

I've been doing vaginoplasty procedures for over 25 years. About half of my patients were done awake, most of the rest were done asleep under intravenous sedation (twilight anesthesia) conducted by an anesthesiologist, and a few were done asleep under general anesthesia with intubation. The patients who chose to be awake were comfortable with the preoperative pelvic exam and did not find it uncomfortable. If they would have been uncomfortable with that exam, they would not have been able to tolerate a vaginoplasty done awake because it gets uncomfortable when retractors are placed to do the work. Every patient has a different pain tolerance. Intravenous sedation is a great option for women who don't want to feel anything during surgery, but who also don't want to be completely asleep. Hope this helps. IV sedation is also known as Monitored Anesthesia Care or MAC. It is very safe, very effective, and done routinely.

Thank you for your question Vaginoplasty technically means plastic surgery of the vagina. Originally It referred to the creation of a new vagina but nowadays surgeons are calling any one of a number of procedures "Vaginoplasty". What can be performed under local anesthesia and is felt is determined by which procedures are done. The vagina is like a six sided rectangular box ( the entrance ororifice, apex , lateral sides, anterior or bladder/urethra side and posterior or rectovaginal side. Proper repair needs to consider all of these. and can take several hours to perform You need to know which procedure is to be performed, what type of block and local is used. Generally, a quality vaginal reconstruction takes several hours and using just local will increase the difficulty and chance of problems. Few competent surgeons are willing to take on the risk. I advise you to thoroughly research the surgeon and find out just which procedures they are referring to by "vaginoplasty". check out reviews of their patients that have had this done.

Vaginoplasty can encompass various vaginal surgeries, including labia minora reduction, cleft narrowing, hood reduction, labia majora reduction, and vaginal tightening. These surgeries can be performed under local anesthesia or IV sedation; so patients are not put completely under but are in "twighlight" during the procedure, ensuring no recollection or discomfort. The duration is typically one to one and a half hours, depending on the specific procedures being performed. After completion, once you are fully awake, and able to tolerate food, drink, and urinate on your own, you can go home. Be sure you see a board certified cosmetic gynecologist to perform your procedure to ensure you have the best outcome. Best of luck to you!

A vaginoplasty and or labiaplasty can be done under local sedation where the area is numbed beforehand. It is often recommended that patients choose anesthesia because they will feel the numbing solution being injected which will sting. Then they may or may not feel pulling/tugging/heat/pressure during the procedure. If you would like to be seen for consultation, feel free to reach out to my office. Smith Plastic Surgery 702-838-2455

Hello, if you dont want to be put a sleep , vaginoplasty operation can be performed under local anesthesia.

Hello;It depends on how much work needs to be done. For minimal repair, it would be possible to just use local Anesthesia and Pronox.

Hello,
It is necessary to perform this surgery under anesthesia. The vaginoplasty is a safe and comfortable surgery, but can last between 4 and 5 hours in the surgery room. Each procedure is personalized and adapted to your needs.

Yes, a full vaginal reconstruction (consisting of deep vaginoplasty + perineoplasty) can be performed under awake, purely "local" anesthesia (different from "conscious sedation" which basically is "...mostly asleep..."). First designed by Dr. Red Alinsod around 2010 and adopted by myself (Dr. Michael Goodman) the same year, for many years only Drs Alinsod and Goodman performed these vaginal tightening surgeries on awake patients, under "local." Now there are several other surgeons in the U.S. and Europe, many trained by Dr. Goodman or Dr. Alinsod in our surgical training programs. Personally, I have not anesthetized ("asleep") a patient for a vaginal tightening in 10 years. WHY LOCAL? Several reasons: 1. The surgeon can do better work, tightening ideally, as (s)he can communicate with the awake patient as to optimal tightening. 2. "Local" is safer. 3. Recovery is easier, with no "general anesthesia" to awaken from. 4. Much less expensive, as no hospital/surgical center "facility fee" to pay, and no separate anesthesiologist's fee. In my case, the fees I charge are "out-the-door" fees, and include facility and local anesthesia. Hope this helps!

Michael P Goodman, MD, FACOG, IF, AAACS
Sacramento, CA, USA