Cosmetic Gynecology, or Female Cosmetic Genital Surgery (fcgs), is the fastest growing subspecialty for women. It includes procedures to enhance the aesthetic appearance of the vulva/vaginal region; and vaginal repairs to enhance or restore sexual function that are degraded due to childbirth or aging. It is practiced by gynecologist, especially urogynecologist, and plastic surgeons.

Cosmetic gynecology is not a medical requirement. It is a trend, driven by women themselves, and not by their sexual partners. Research has shown that the appearance of a woman’s genitalia affects her self-confidence and sexuality.

The five main procedures of Cosmetic Gynecology are:

• Hymenoplasty: creating an intact hymen broken by cycling, horse riding or first intercourse. In most countries intact hymen denotes virginity

• Vaginoplasty: tightening of vagina or vaginal rejuvenation, for sexual satisfaction.

• Labiaplasty: improve the appearance of inner labia, and reduce the vaginal lip size.

• Hoodectomy or Clitoral unhooding: remove the tissue that normally covers the clitoris.

• Monsplasty: lift, tighten and shape-up the pubis, the “bikini bridge,” which may be prominent when wearing outfits.

These are minor-surgical, day, procedures. The scar usually is imperceptible; but some amount of bruising, discomfort and swelling is common.

 

Laser have recently been introduced for vaginal rejuvenation. Lasers have been in wide use for treatments in dermatology and aesthetic medicine. Laser’s introduction to cosmetic gynecology was therefore a natural progression of technology.  At present lasers in gynecology are being used for Condyloma, Cervical Dysplasia, Vaginal Tightening, Labial Trimming, Vulvar Melanosis, Liposuction of the Pubis Mound and Vulvar Hair Removal. 

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Urogynecology is a sub-specialty of Gynecology, and in some countries is also known as Female Pelvic Medicine and Reconstructive Surgery. Conditions treated by urogynecology specialists include:

• Congenital anomalies of the lower reproductive tract (for example, imperforate hymen, vaginal septum, uterine anomalies)

• Fecal incontinence

• Overactive bladder syndrome

• Pelvic organ prolapse

• Post-hysterectomy prolapse

• Stress urinary incontinence

• Urethral diverticulum

• Urgency urinary incontinence

• Vesicovaginal and rectovaginal fistulas

Suvidha For Women urogynecology specialists also manage complications from previous incontinence or prolapse surgery with or without mesh.