+212606121213
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  • 125 BD Brahim Roudani,1er etage, Appt 11, Casablanca, Morocco
  • Mon - Fri: 09:00 - 17:00,
    Saturday: 09h00 - 13h00
(+212) 520170817
(+212) 606121213
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Intimate surgery

Vulvar Fissure Surgery

Symptoms: a sensation of looseness, vaginal air sounds, unusual noises during sexual intercourse, watery discharge, decreased sensation in the vulva and vagina, complaints from the partner.

Vulvar laxity is most often caused by one or more childbirths.

Despite the large number of affected patients, few people openly discuss their symptoms; it remains a taboo subject even today.

This condition involves a loss of muscle tone in the perineal muscles, which causes the vulvar fornix to become lax and increases the capacity of the vagina.

The problem is not anatomical but functional; in fact, some women may complain of vaginal gas during intercourse (vaginal farts) and a physical reduction in sexual pleasure, which is also felt by their partner.

Vulvar atrophy can also cause vaginal discharge after bathing (the "swimming pool sign").

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Treatment is primarily preventive and involves postpartum pelvic floor rehabilitation.

This rehabilitation can be repeated with a physical therapist or a specialized midwife.

The treatment essentially provides better control over muscle contraction, but it will not replace a damaged muscle.

This rehabilitation can be performed in the absence of an anatomical defect and as a supplement to surgery.

However, reconstructive surgery may be indicated.

It involves bringing the separated labia together, with the goal of strengthening the muscles and narrowing the vaginal opening.

Three types of surgical procedures may be offered on an outpatient basis: perineoplasty, vaginal lift, or vaginoplasty.

These methods can be supplemented by vaginal tightening through the injection of autologous fat (obtained through liposuction from the patient and reinjected) and/or hyaluronic acid.

It is also possible to reduce the size of the vaginal opening using a laser or by surgically removing the excess vaginal tissue.

These surgical methods are effective today, but while the anatomical results are good, improvements in the quality of sexual life are more unpredictable.

It is therefore important to carefully select the indications and reserve these techniques for patients who are experiencing significant discomfort after medical treatments have failed.

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Fat Re-injection

In cosmetic medicine, fat reinjection or cellulo-adipose tissue grafting is used for vaginal and vulvar rejuvenation, to correct vulvar laxity, plump the labia majora, or narrow the vaginal opening.

From a functional standpoint, fat reinjection can help treat several conditions, such as certain types of pain during intercourse (dyspareunia) and vaginal dryness.

It is particularly revolutionary in the treatment of obstetric and surgical trauma: painful and/or unsightly scars from episiotomies or tears.

It is even possible to correct a vulvar laxity, which can cause discomfort, vaginal gas, and a feeling of looseness during intercourse.

Vaginal Reduction Surgery

Labia minora reduction surgery is indicated for patients with actual or perceived hypertrophy of the labia minora.

Patients report aesthetic and physical discomfort, which is exacerbated by changing fashion trends (very tight jeans, thongs, etc.).

This is an isolated malformation of the labia minora, which appear abnormally enlarged and cause both a disfiguring appearance and functional discomfort in daily life, sports, and sexual activity.

The condition most often becomes apparent during adolescence (particularly in female athletes) or upon becoming sexually active, but it can also occur after childbirth.

These patients may suffer from a real complex, sometimes dating back to adolescence.

There are two possible scenarios:

  1. True hypertrophy of the labia minora, which is treated with reconstructive surgery. This hypertrophy and its impact on daily life must be objectively assessed by the surgeon.
  2. «Perceived» hypertrophy and asymmetry—conditions in which there is no hypertrophy in the medical sense of the term, even though the patient describes aesthetic and/or functional discomfort.

The surgical procedure involves removing excess tissue to reduce the size of the labia minora symmetrically.

The ideal procedure is a V- or Lambda-shaped plasty, which has the advantage of preserving the natural edge of the labia minora with a virtually invisible scar.

The procedure is performed on an outpatient basis under brief general anesthesia.

Care philosophy

A holistic approach to women's health

Dr Nadia Oukacha puts her expertise in gynecology, obstetrics and fertility at the service of every woman, combining listening, prevention and cutting-edge technology.

Active listening and caring

Each consultation begins with an in-depth discussion to understand your needs and establish a climate of trust.

Comprehensive, personalized approach

A complete check-up, nutritional advice and psychological follow-up are adapted to your age and life situation.

Focus on prevention

Regular smear tests, screening and check-ups aim to anticipate risks and preserve your health over the long term.

Frequently asked questions (FAQ)

Here you'll find answers to the most frequently asked questions about consultations, specialties, booking appointments and how the practice works.

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How do I make an appointment with Dr Oukacha?

You can book your consultation directly online via our website or by calling the practice on +212 606 12 12 13. A contact form is also available on the site.

What are Dr Nadia Oukacha's specialties?

Dr Oukacha specializes in :

  • Gynecology (consultations, pap smears, colposcopy, ultrasounds)

  • Obstetrics (pregnancy monitoring, ultrasound, amniocentesis)

  • Intimate and breast surgery

  • Fertility and medically assisted reproduction (MAP)

What examinations are carried out at the clinic?

The practice is equipped for :

  • Gynecological and obstetrical ultrasounds

  • Cervico-vaginal smear

  • Colposcopy

  • Fertility assessment

What are the opening hours?

  • Monday through Friday: 9:00 a.m. – 5:00 p.m.

  • Saturday: 9:00 am - 1:00 pm

  • Sundays and public holidays: closed

Where is the office located?

The office is located in Casablanca, at 125 BD Brahim Roudani, 1st floor, Appt 11. An interactive map is available on the Contact page.

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Access specialized gynecology, obstetrics and fertility care with confidence and simplicity.