Is it safe to undergo vaginoplasty with an existing uterine fibroid?

Question

Hello, I've had a uterine fibroid embolisation 1 yr ago, it has shrunk from 7cm to 5cm, I wish to have a vaginoplasty in a few months will it be safe to have vaginoplasty ?

Marco A. Pelosi III, MD, FACOG, FACS · Answer

If you have fibroids that are not distorting the vaginal canal, then you can safely undergo a vaginoplasty. Most fibroids don't distort the vaginal canal as they are located in the body of the uterus, but the ones that do are usually located in the cervix. In that scenario, you would need to have the fibroid surgically removed beforehand. It's not a safety issue, it's about having a fibroid blocking the ability to tighten the vaginal muscles.

Mark N. Scheinberg, MD · Answer

Thank you for your questionVaginoplasty technically means plastic surgery of the vagina. Except for the creation of a new vagina it does not refer to a specific procedure and each surgeon may have a different way of doing their "vaginoplasty". The vagina is connected on six sides and each is repaired differently. The effect of embolization depends on the location of the fibroid. Unless the fibroid is impinging on the area to be repaired it should not interfere with the surgery.

Michelle Jones Singer, MD · Answer

Thank you for reaching out. In most cases, having a uterine fibroid embolization (UFE) a year ago does not prevent you from safely having a vaginoplasty. Since your fibroid has already decreased in size and you’re well past the healing period, this is typically not a concern for surgery on the vaginal opening and external tissues.

Sue Kafali, MD · Answer

Vaginoplasty involves several procedures, including vaginal tightening, whether it's a full or mini procedure. Additionally, it may involve other surgeries such as perineoplasty, labia majora apexi, labia minora reduction, cleft narrowing, or hood reduction. However, fibroids are unrelated growths that typically affect the uterus, leading to gynecological issues. To offer accurate guidance, it's crucial to specify the particular vaginoplasty procedure you’re considering. Regarding fibroids, it's advisable to seek consultation with a gynecologist. If vaginal tightening is desired and a robotic hysterectomy is planned, it's recommended to address fibroids beforehand to mitigate potential complications during their removal through the vaginal route. You can find more information about these various procedures our link provided. I hope this helps and best of luck to you!

Burcak Tok, MD · Answer

Hello, vaginoplasty does not affect the uterine fibroids in any way. Therefore, you can have a vaginoplasty operation whenever you want. It could even be done at the same time as the uterine surgery.

Randal Haworth, MD, FACS · Answer

Undergoing vaginoplasty after uterine fibroid embolization may have potential considerations. It’s crucial to discuss your medical history, including the fibroid embolization, with both your gynecologist and the surgeon performing the vaginoplasty.

They can assess your current health, any residual effects from the fibroid embolization, and determine if it’s safe for you to proceed with vaginoplasty.

Best of luck !

Michael P. Goodman, MD, FACOG · Answer

Having a vaginoplasty/perineoplasty performed by a well-trained Cosmetic Gynecologist in my opinion will not effect your uterine myoma ("fibroid"); It will not make your surgery more difficult for your surgeon, it should not adversely effect your recovery, and the embolization of your uterine artery (-ies) will not in a major way effect the blood supply to your pelvic floor, important to your vaginoplasty healing.

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

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

Is it safe to undergo vaginoplasty with an existing uterine fibroid?

Answers (7)

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