Is its possible to undergo vaginoplasty with conscious sedation?
Doctor Answers 7
Anesthesia Choices for Vaginoplasty
The choice of anesthesia is yours
It is certainly very possible to do vaginoplasty under conscious sedation. In fact, we do just about all our vaginoplasty/perineoplasty/labiaplasty surgeries without conscious sedation and without IVs placed! For the past decade or so we have done these surgeries in our office extremely safely and comfortably with you listening to music, taking a nap, or watching TV. Many patients spend the time texting and emailing friends and I have even had patients take photos of their surgeries and update their families in real time. Your doctor has to know how to do the local blocks and how to give you the right mix of pills and creams to avoid having to have an IV or tube or needle placed. With special creams and a device that pushes the local anesthetic deep under the skin and with strategic blocks deep in the pelvis you can safely have these surgeries. There is no safer way to have surgery than to be awake, speaking with your surgeon, giving live feedback, without worries of aspiration, fevers, and not waking up. My teaching program has taught surgeons all over the world on how to do these procedures in the office.
Hope this helps.
Red Alinsod, MD
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Vaginoplasty under LOCAL anesthesia!
It certainly is! In fact, since 2014 I have performed virtually all of my perineoplasty/vaginoplasty full pelvic floor tightening operations in the office under local anesthesia with very light sedation ( less invasive even than "conscious sedation.") I have performed vaginoplasty specific for vaginal tightening since 2000, and have done ~ 100 cases. With the advent of new retraction systems, a very experienced vaginal pelvic floor surgeon can do a very complete vaginoplasty under local tumescent anesthesia. So far as I know, only Dr. Red Alinsod MD in Laguna Beach and I are the only experienced pelvic floor surgeons performing vaginoplasty in-office under local, but there certainly may be others, who will answer you on this site.
Performing vaginoplasty under local leads to far less bleeding, less post-op pain, quicker recovery, and eliminated the risk and hassle of general anesthesia (being "put to sleep.") Much less expensive as well!
Please click on the link below for more... Very best wishes!
Michael P Goodman MD
Vaginal Rejuvenation under conscious sedation
The extent of anatomic damage and repair needed and the surgeon's skill will determine just what you will need and whether or not it can be done with conscious sedation vs. general anesthesia. A more extensive surgery may require deeper anesthesia. The newest radiofrequency treatment ThermiVa is done in-office without any cutting, anesthesia or downtime and is an option for mild anatomic changes.
I hope this information is helpful.
Dr. Troy Hailparn
Vaginoplasty without going under