FGCS refers to non-medically indicated cosmetic surgical procedures which change the structure and appearance of the healthy external genitalia of women, or internally in the case of vaginal tightening. This includes cosmetic surgery resulting from the distress caused by a perception of abnormality.
Your surgeon will take a full medical history from you combined with an examination. Following this, a plan for the best approach to treat your symptoms will be made. This usually involves addressing the abnormalities present such as excess size, tissue redundancy and asymmetrical appearance.
The aim of surgery is to address the specific symptoms you may have. Whether these be physical, such as discomfort and bleeding with normal activities and sports or during intercourse, or psychological, such as distress caused by the perception of abnormality.
All surgery carries risks of complications. These include:
Your surgeon will discuss with you all treatment options for your specific symptoms. Even if surgery is the only recommended course to manage your symptoms, you may still choose not to proceed and to have no procedure done.
It is good to ensure that you are not having your period at the time of surgery. Ensure that your vulval area is clean by twice daily showers for a few days prior to any operation. The operation may be performed under a general or local anaesthetic. In cases where a general anaesthetic is used, you will be asleep during the procedure. For a general anaesthetic, on the day of your surgery you will be asked to stop eating food 6 hours prior to your surgery and drink only water until 2 hours before your surgery. An anaesthetist will see you on the day of your surgery to discuss the anaesthetic in more detail. You will also see your surgeon again to confirm your consent to proceed.
The exact nature of the surgery will be discussed with you during the consultation with your surgeon. The operative plan may however change at the time of your surgery, but this would only be to act in your best interests and achieve your desired outcome.
What happens after the procedure?
After the procedure you will usually only feel minimal discomfort due to local anaesthetic injected into the operated area during the surgery. Once this wears off, you may feel some mild pain that may require regular oral painkillers. Your surgeon will see you after your operation to explain how the procedure went. On discharge from hospital wear a panty pad which is changed regularly. Clean yourself gently twice a day with soap and water. Stay off work for 2 weeks, and do no exercise for 3 weeks. If complications occur the time off work and sport will be prolonged.
Telephone the ward of the hospital from which you have been discharged.
Telephone my secretary Angie Harrison during office hours – 07961221874
In an emergency (and you have failed to contact me by the above two methods) then please telephone St George’s Hospital (020 8672 1255) and ask them to either bleep me or the Resident Plastic Surgery doctor on call (Bleep 7050).
Appointment times vary, usually 30 minutes for a new patient and 15 minutes for a follow up appointment. Mr Soldin bills for his time. Angie Harrison PA to Mr Soldin - Tel: 07961 221874 would be happy to help you with any queries. Look forward to meeting you. MS