Cosmetic Gynecology and Potential Complications

2013-01-20

Cosmetic Gynecology and Potential Complications

As a general rule, surgeons apply many precautions to avoid surgical complications. With this said, you must acknowledge that with any surgical procedure, there is always going to be a complication risk-factor. This factor is present even if your surgeon is among the most experienced and highly-trained physicians.

Many women are opposed to Cosmetic Gynecological Procedures, as these types of surgical procedures are fairly new, thus lack long-term research in terms of their efficacy and risk.

Making sure patients understand potential risks and complications is one of the key factors in executing successful surgical procedures.

For any surgeon, being open and honest with patients about potential surgical complications is never easy. During consultations, I inform my patients of the potential risks involved with surgery. I then make it clear that, in some cases, more than one procedure may be required before a patient is satisfied and their full expectations are met. Similarly, I explain that sometimes scarring can form which requires a revisionary procedure. Although surgeons, including myself, take many precautions to eliminate the need of corrective surgery, it is still a possibility that patients need to be aware of.

Learning about possible complications and ensuring you understand entailed risks empowers you. Afterwards, you can weigh the risk-factor against your needs and desires, giving you the opportunity to choose which, if any, procedure is right for you.

As long as you are aware of potential risks and complications and then can balance whether you see more potential good than harm, you are given the autonomy to choose for yourself.

Before I perform surgery, my clients are assisted in completing a set of consent forms. Once again, included within the forms, there is a section regarding potential risks and complications.

Everyday, I see more and more women coming to me for Labiaplasty. I educate them in regards to potential problems that may arise, for example asymmetry or excessive skin tags in the peri-anal area. Both of these problems can be corrected in due time.

If these complications are to occur, I give the patient a clear and concrete explanation detailing how the correction should take place.

Labiaplasty requires meticulous attention, timing, and patience. All of these components are essential to obtaining beautiful, symmetrical results.

A patient must consider that no case I've ever seen or dealt with has been the same; everyone has an individual structural composition and unique needs.

In my 14 years of Cosmetic Gynecological experience, I've witnessed an extremely low number of complication cases as well as corrective surgery cases. A prompt, accurate diagnosis and effective treatment is very important when a surgical complication presents itself.

My many years of experience, continuing education, and specialized trainings have heavily influenced the low number of complications exhibited in the vaginal surgeries I've performed.

Side Effects and Complications of Cosmetic Gynecology Surgery

1) DIZZINESS

  • Nausea and vomiting may be experienced as a side effect of the general anesthesia, but which is noted to be relieved as soon as its effect wears off.

2) POST OPERATIVE PAIN

  • In the first 2-3 days, pain at/or around the surgical wound may be felt as soon as the anesthetic wears off, but which is easily relieved by pain medications prescribed. You should refrain from working hard to avoid more bruise and pain.
  • Occasionally, you may experience intumesce, itches, irritation or stress around the surgical wound. Should you have more intumesce and pain, please do not be hesitant to come to see me.

3) ABNORMAL BLEEDING

  • For Labiaplasty procedures, within 1 week after the surgery, the surgical area may become swollen; using small dissolving sutures results in smoother wound than using large ones and helps decrease surgical scars, as a result of less pressure of the small ones than that of the large ones and may lead to the risk of bleeding, possibly caused by walking or other activities
  • For vaginoplasty/posterior repair/A-P vaginal repair or A-P vaginal repair with mesh, you may have abnormal vaginal bleeding, possibly caused by walking or other activities. You should take a rest (refraining from work) and be still for at least 2-3 days after the procedure to enable the wound to heal faster, avoid constipation and have as least movement as possible in the first 1-2 weeks after the procedure to avoid wound disruption.
  • In Yanhee Cosmetic Gynecology Center, abnormal bleeding which may lead to hematoma formation is very seldom noted and occurs in 1 out of 100 surgical procedures if excessive bleeding from the surgical wound occurs after surgery, all expenses for services and treatment for this post-surgical complication will no longer be charged to you. However, if the bleeding or other complications occur due to your non-compliance with the doctor’s orders, you will be charged accordingly.

4) ABNORMAL VAGINAL DISCHARGE

  • For vaginoplasty/posterior repair/A-P vaginal repair or A-P vaginal repair with mesh, you may have abnormal vaginal discharge, brown discharge or yellowish discharge after the procedure because the vagina is full of secretion fluid and various kinds of bacteria have reaction to tissues and suture material. The suture material must be absorbable to be ensured by me to become decayed after complete healing taking 6-8 weeks. Therefore, after the procedure, you may have abnormal vaginal discharge for up to 6-8 weeks. In case of smelly vaginal discharges you have to take additional medications.
  • For all of cosmetic gynecology procedures, you may have abnormal vaginal discharge or curd like discharge as a result of the vaginal fungi, possibly following taking antibiotic to avoid post-operative infection and needing anti-fungal medication or suppository.

5) URINARY FREQUENCY OR DIFFICULTY IN URINATION

  • In all of the vaginal surgeries ,urinary frequency or difficulty in urination may be noted a few days after the surgery due to the tightening of the vaginal muscles immediately after surgery, but which is expected to gradually disappear after the vaginal muscles have started to loosen up a bit. In our Center, less than 1%, of the surgeries may experience the difficulty in urination and may be catheterized for 2-3 days to prevent cystitis.
  • At home after the surgery, some of you may subsequently experience the difficulty in urination especially in the first 5-7 days after the surgery. If so, please contact the Hospital to ask for advice or please come to the Center for the treatment of the cystitis caused by the retention of urine.

6) INFLAMMATION OR INFECTION OF THE SURGICAL WOUND 

  • For the Cosmetic Gynecology Surgery , inflammation or infection of the wound may occur because the surgical wound is in the vulvovaginal area constantly be prone to contaminated with the fluid from vaginal tract, urinary tract and alimentary(fecal) tract.
  • Mostly the inflammation or infection of the wound may happen to any women who fail to follow the instructions, follow the instructions incorrectly or have existing diseases such as diabetes or have vaginal infection before the surgery.
  • Inflammation or infection of the surgical wound may cause complications, rough wound edge, or non-proportional of the surgical area, wound deformation, suture mark ( scar), wound disruption leading to abnormal bleeding or  unexpected surgical results.

7) LEAKAGE (FISTULA) BETWEEN VAGINA AND NEIGHBORING ORGANS

  • For vaginoplasty/posterior repair/A-P vaginal repair or A-P vaginal repair with mesh, leakage (Fistula) between Badder (or rectum) and vagina is theoretically considered a rare precaution. In this respect, if you have some vaginal body fluid with feces-like smell, please inform me immediate for prompt diagnosis and treatment of such symptom.

Please do not hesitate to contact us with any questions or concerns. In case of unexpected surgical results or complications, corrective surgery is an option and will be discussed between you and me. I welcome you to send an inquiry with any questions you may have; after all, that is the first step.

Cordially Yours,

Vitasna Ketglang, M.D.

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