{"id":43853,"date":"2025-08-11T15:35:43","date_gmt":"2025-08-11T15:35:43","guid":{"rendered":"https:\/\/droukacha.formation360.ma\/?page_id=43853"},"modified":"2025-08-11T15:39:55","modified_gmt":"2025-08-11T15:39:55","slug":"chirurgie-intime","status":"publish","type":"page","link":"https:\/\/docteuroukachanadia.com\/en\/chirurgie-intime\/","title":{"rendered":"Intimate surgery"},"content":{"rendered":"
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Intimate surgery\n<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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Vulvar gap surgery\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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Symptoms: sensation of being opened up, vaginal air noises, incongruous noises during intercourse, fluid discharge, reduced vulvo-vaginal sensation, partner recrimination.<\/p><\/div><\/div><\/div><\/div><\/div><\/div>

Vulvar hollowness is most often secondary to one or more deliveries.<\/p>

Despite the large number of patients affected, there are few open complaints, as it's still a taboo subject.<\/p>

This is a lack of tone in the perineal muscles, leading to a relaxation of the vulval fork and an increase in vaginal capacity.<\/p>

The problem is not anatomical but functional: some women complain of vaginal gas emission during intercourse (vaginal farts), and a mechanical reduction in sexual pleasure, also felt by the partner.<\/p>

Vulvar hollowness can also cause vaginal discharge of fluid after a bath (pool sign).<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Book your consultation<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Treatment is primarily preventive, with post-partum perineal rehabilitation.<\/p>

This re-education can be repeated with a physiotherapist or specialized midwife.<\/p>

The action is limited to better control of muscle contraction, but will not replace a damaged muscle.<\/p>

Rehabilitation can be performed in the absence of an anatomical defect, and as a complement to surgery.<\/p>

However, reconstructive surgery may be indicated.<\/p>

The aim is to strengthen the muscles and narrow the vaginal orifice.<\/p>

Three types of surgery can be performed on an outpatient basis: perineoplasty, vaginal lift or vaginoplasty.<\/p>

These methods can be complemented by vaginal shrinkage using injections of autologous fat (obtained by liposuction from the patient and reinjection) and\/or hyaluronic acid.<\/p>

It is also possible to reduce the vaginal surface by laser or surgical resection of the vaginal excess.<\/p>

These surgical methods are effective today, but while the anatomical results are good, the improvement in sexual quality of life is more uncertain.<\/p>

It is therefore important to carefully select the indications and to reserve these techniques for patients who are very inconvenienced after medical techniques have failed.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Book your consultation<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t
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Fat reinjection\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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In aesthetics, fat reinjection or cellulo-adipous tissue grafting is used for vaginal and vulvar rejuvenation, correcting vulvar hollowness, plumping the labia majora or narrowing the vaginal orifice.<\/p>

From a functional point of view, fat reinjection can correct a number of pathologies, such as certain types of pain during intercourse (dyspareunia) and vaginal dryness.<\/p>

In particular, it is revolutionary in the treatment of obstetrical and surgical trauma: painful and\/or unsightly episiotomy or tear scars.<\/p><\/div><\/div><\/div><\/div><\/div><\/div>

It's even possible to correct a vulvar gap that causes discomfort, vaginal gas or a feeling of laxity during intercourse.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t

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Reduction nymphoplasty\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Reduction nymphoplasty or labia minora reduction plasty is indicated for patients with real or perceived labia minora hypertrophy.<\/p><\/div><\/div><\/div><\/div><\/div><\/div>

Patients express aesthetic and physical discomfort, accentuated by changes in fashion (very tight jeans, thongs, etc.).<\/p>

This is an isolated malformation of the labia minora, appearing highly developed and causing both an unsightly appearance and functional discomfort in daily life, sports and sexual activities.<\/p>

The complaint most often appears during adolescence (sports) or when sexual activity begins, but can also occur after childbirth.<\/p>

These patients can experience a real complex, sometimes since adolescence.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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There are 2 possible scenarios:\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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  1. True hypertrophy of the labia minora, which requires reconstructive surgery. This hypertrophy and its impact on daily life must be objectively assessed by the surgeon.<\/li>
  2. Perceived\u00ab hypertrophy, or asymmetry, in which there is no hypertrophy in the medical sense of the term, but the patient describes aesthetic and\/or functional discomfort.<\/li><\/ol>

    The surgical technique consists of removing the excess tissue to symmetrically reduce the size of the labia minora.<\/p>

    The ideal technique is a V or Lambda plasty, which has the advantage of preserving the natural border of the labia minora with an almost invisible scar.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    The procedure is performed on an outpatient basis, under a short general anaesthetic.\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t
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    Care philosophy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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    A holistic approach to women's health<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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    Dr Nadia Oukacha puts her expertise in gynecology, obstetrics and fertility at the service of every woman, combining listening, prevention and cutting-edge technology.<\/p>\t\t\t\t<\/div>\n\t\t

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    Active listening and caring <\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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    Each consultation begins with an in-depth discussion to understand your needs and establish a climate of trust.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Comprehensive, personalized approach<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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    A complete check-up, nutritional advice and psychological follow-up are adapted to your age and life situation.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Focus on prevention <\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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    Regular smear tests, screening and check-ups aim to anticipate risks and preserve your health over the long term.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t

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    Frequently asked questions (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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    Here you'll find answers to the most frequently asked questions about consultations, specialties, booking appointments and how the practice works.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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    contact us <\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t
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    How do I make an appointment with Dr Oukacha?<\/span><\/a><\/i><\/span><\/i><\/span><\/span><\/h3>

    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.<\/p><\/div><\/div>

    What are Dr Nadia Oukacha's specialties?<\/span><\/a><\/i><\/span><\/i><\/span><\/span><\/h3>

    Dr Oukacha specializes in :<\/p>