Laser Vaginal Rejuvenation® (Laser Anterior, Posterior Colporrhaphy and Perineorrhaphy)
RISKS AND COMPLICATIONS
List of possible complications:
Hemorrhage
Infection
Hematoma: Collection of blood in tissues.
Ureter injury: Injury to the drainage tube of the kidney.
Urethral injury: Injury to the drainage tube to the bladder “where you urinate from”
Bowel injury: Large intestine and small intestine.
Urethral vaginal fistula: Hole in the urethra that communicates with the vagina.
Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina.
Rectovaginal fistula: Hole between the rectum and vagina. The rectum communicates with vagina
Dyspareunia: Painful intercourse
Wound disruption (vaginal): Wound separation
Wound disruption (perineum): Wound separation between vagina and anus
Need for subsequent surgery
Alteration of vaginal sensations: Decrease feelings or increase feelings
Scar formation (vaginal/perineum)
Compromised introital opening (possibly requiring surgery to increase opening): Too tight of a vaginal opening
Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution
Failed surgery
Varied aesthetic results
Psychological alterations
Relationship problems
Sex life alteration
Fecal incontinence: Unable to control bowel movements
Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina
Decreased sexual function
Possible hospitalization for treatment of complications
Bowel function change
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot in the deep vein of the leg
Pulmonary embolism: Blood clot of the lungs
Keloid (heavy scar): excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reaction to medications.
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Change in the appearance of vulvar structure
Change in the appearance of the anus
Prominent appearance of existing hemorrhoidal tags – hemorrhoids
Urinary tract infection
Hematoma
Overactive bladder
Urge incontinence
Unsolved or worsen incontinence
Bladder injury
Urinary retention
Vaginal stenosis
Hemorrhoids
Yeast infection
Vaginal discharge
Suture erosion requiring removal
Dysfunctional uterine bleeding
Economic/wage loss
Future unemployment- Loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to go on Disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
Laser Vaginal Rejuvenation® (Laser Posterior Colporrhaphy and Perineorrhaphy)
RISKS AND COMPLICATIONS
List of possible complications:
Hemorrhage
Infection
Hematoma: Collection of blood in tissues.
Ureter injury: Injury to the drainage tube of the kidney.
Urethral injury: Injury to the drainage tube to the bladder “where you urinate from”
Bowel injury: Large intestine and small intestine.
Urethral vaginal fistula: Hole in the urethra that communicates with the vagina.
Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina.
Rectovaginal fistula: Hole between the rectum and vagina. The rectum communicates with vagina
Dyspareunia: Painful intercourse-narrowing of internal and external vagina.
Wound disruption (vaginal): Wound separation.
Wound disruption (perineum ): Wound separation between vagina and anus.
Need for subsequent surgery
Alteration of vaginal sensations: Decrease feelings and increase feelings.
Scar formation (vaginal/perineum)
Compromised introital opening (possibly requiring surgery to increase opening): Too tight of a vaginal opening.
Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to medication
Alteration of the female sexual response cycle
Failed surgery
Varied aesthetic results
Psychological alterations
Relationship problems
Sex life alteration
Fecal incontinence: Unable to control bowel movements
Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina
Decreased sexual function
Possible hospitalization for treatment of complications
Bowel function change
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot in the deep vein of the leg
Pulmonary embolism
Keloid (heavy scar): excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reactions to medications
Nerve damage
Permanent numbness
Swelling
Slow healing
Sexual dysfunction
Vaginal stenosis
Vaginal discharge
Yeast infection
Hemorrhoids
Economic and wage loss
Future unemployment- Loss of career
Need for blood or blood product transfusion with associated risk of blood borne disease
Need to go on Disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
Laser Vaginal Rejuvenation® (LVR®) With Designer Laser Vaginoplasty® (DLV®) Combination
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: Collection of blood in tissues
Ureter injury: Injury to the drainage tube of the kidney
Urethral injury: Injury to the drainage tube to the bladder
Bowel injury: Large intestine and small intestine
Urethral vaginal fistula: Hole in the urethra that communicates with the vagina
Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina
Rectovaginal fistula: Hole between the rectum and vagina; The rectum communicates with vagina
Dyspareunia: Painful intercourse
Wound disruption (vaginal): Wound separation
Wound disruption (perineum): Wound separation between vagina and anus
Need for subsequent surgery
Alteration of vaginal sensations: Decrease feelings and increase feelings
Scar formation (vaginal/perineum)
Compromised introital opening (possibly requiring surgery to increase opening): narrowing of internal and external vagina
Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution
Failed surgery
Varied aesthetic results
Psychological alterations
Relationship problems
Sex life alteration
Fecal incontinence: Unable to control bowel movements
Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina
Decreased sexual function
Possible hospitalization for treatment of complications
Bowel function change
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot in the deep vein of the leg
Pulmonary embolism: Blood clot of the lungs
Keloid (heavy scar): excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reactions to medications
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Change in the appearance of vulvar structure
Change in the appearance of the anus
Prominent appearance of existing of hemorrhoidal tags – hemorrhoids
Urinary tract infection
Hematoma
Overactive bladder
Urge incontinence
Unsolved or worsen incontinence
Bladder injury
Urinary retention
Vaginal stenosis
Hemorrhoids
Yeast infection
Vaginal discharge
Suture erosion requiring removal
Dysfunctional uterine bleeding
Economic/wage loss
Future unemployment – loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to go on Disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
**The Risks and Complications for DLV are specific to the type of procedure performed. Please refer to the specific risks for the procedure of interest.
Combination of Laser Vaginal Rejuvenation® (LVR®) and/or Designer Laser Vaginoplasty® (DLV®) with Other Surgical Procedures
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: Collection of blood in tissues
Ureter injury: Injury to the drainage tube of the kidney
Urethral injury: Injury to the drainage tube to the bladder
Bowel injury: Large intestine and small intestine
Urethral vaginal fistula: Hole in the urethra that communicates with the vagina
Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina
Rectovaginal fistula: Hole between the rectum and vagina; The rectum communicates with vagina
Dyspareunia: Painful intercourse
Wound disruption (vaginal): Wound separation
Wound disruption (perineum): Wound separation between vagina and anus
Need for subsequent surgery
Alteration of vaginal sensations: Decrease feelings and increase feelings
Scar formation (vaginal/perineum)
Compromised introital opening (possibly requiring surgery to increase opening): narrowing of internal and external vagina
Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution
Failed surgery
Varied aesthetic results
Psychological alterations
Relationship problems
Sex life alteration
Fecal incontinence: Unable to control bowel movements
Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina
Decreased sexual function
Possible hospitalization for treatment of complications
Bowel function change
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot in the deep vein of the leg
Pulmonary embolism: Blood clot of the lungs
Keloid (heavy scar): excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reactions to medications
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Change in the appearance of vulvar structure
Change in the appearance of the anus
Prominent appearance of existing of hemorrhoidal tags – hemorrhoids
Urinary tract infection
Hematoma
Overactive bladder
Urge incontinence
Unsolved or worsen incontinence
Bladder injury
Urinary retention
Vaginal stenosis
Hemorrhoids
Yeast infection
Vaginal discharge
Suture erosion requiring removal
Dysfunctional uterine bleeding
Economic/wage loss
Future unemployment – loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to go on Disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
**The Risks and Complications for DLV are specific to the type of procedure performed. Please refer to the specific risks for the procedure of interest.
**The Risks and Complications for other cosmetic surgical procedures are specific to the type of procedure performed. Please refer to the specific Risks and Complications for the surgical cosmetic procedure of interest.
Liposculpturing of the Fatty Mons Pubis and Labia Majora
RISKS AND COMPLICATIONS
Abnormal body contour
Anesthesia reaction
Bleeding
Burning Sensation
Depression (mild depression is normal following elective surgery)
Dimples
Discoloration
DVT (Blood Clot)
Fat Embolism (less than 0.1%)
Heart Failure
Hematoma
Hypothermia
Infection
Keloid (heavy scar)
Nerve damage
Perforation of bowel or abdominal wall
Permanent numbness (risk is less than 1%)
Puckers
Reactions to medications
Seroma (fluid collection under skin)
Shock
Skin irregularities
Skin death (necrosis)
Slow healing
Swelling
Tingling
Visible scar
Economic/wage loss
Future unemployment – loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to collect Disability benefits
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery.
Laser Reduction Labiaplasty of the Labia Majora via Vertical Elliptical Excision
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: collection of blood in tissues
Separation of labia majora surgical edges
Labia majora scar: Scar of outer lips
Hyposenation: Decrease feeling
Hypersensation: Increase sensation that can be painful or unpleasant
Varied aesthetic result
Asymmetry of the labia majora: Unequal length of small inner lips
Retraction of the labia majora
Flattening of the labia majora
Suture irritation: Reaction or allergy
Dyspareunia: Painful intercourse
Wound disruption: Wound separation
Need for subsequent surgery
Alteration of vulvar sensations
Alteration of vaginal sensations
Compromised introital opening – narrowing of external and internal vagina
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to pain medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution
Failed surgery
Psychological alterations
Relationship problems
Sex life alteration
Decreased sexual function
Possible hospitalization for treatment of complications
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot of the deep veins of the leg
Pulmonary embolism: Blood clot to the lungs
Keloid (heavy scar): Excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reaction to medication
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Suture itching
Economic/wage loss
Future unemployment – Loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to go on disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
Labia Majora Augmentation via Fat Transfer
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: Collection of blood in tissues
Hyposensation
Hypersensation
Varied aesthetic result
Re-absorption of some or all of the fat (AFT)
Dyspareunia
Seroma (fluid collection under skin)
Fat movement
Abnormal majora contour
Puckers
Wound disruption
Dimples
Discoloration
Fat Embolism (less than 0.1%)
Need for subsequent surgery
Alteration of vulvar/vaginal sensations
Post-operative pain
Prolonged pain
Intractable pain
Skin irregularities
Skin death (necrosis)
Alteration of the female sexual response cycle
Failed surgery
Psychological alterations
Relationship problems
Sex life alteration
Decreased sexual function
Possible hospitalization for treatment of complications
Lidocaine toxicity
Anesthesia reaction
DVT (Blood Clot)
Pulmonary embolism
Depression (mild depression is normal following elective surgery)
Reactions to medications
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Economic and wage loss
Future unemployment – loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to collect Disability benefits
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
Laser Reduction Labiaplasty of the Labia Majora via Extension of the Perineoplasty
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: collection of blood in tissues
Separation of labia majora surgical edges
Labia majora scar: Scar of outer lips
Hyposenation: Decrease feeling
Hypersensation: Increase sensation that can be painful or unpleasant
Varied aesthetic result
Asymmetry of the labia majora: Unequal length of small inner lips
Retraction of the labia majora
Flattening of the labia majora
Suture irritation: Reaction or allergy
Dyspareunia: Painful intercourse
Wound disruption: Wound separation
Need for subsequent surgery
Alteration of vulvar sensations
Alteration of vaginal sensations
Compromised introital opening – narrowing of external and internal vagina
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to pain medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution
Failed surgery
Psychological alterations
Relationship problems
Sex life alteration
Decreased sexual function
Possible hospitalization for treatment of complications
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot of the deep veins of the leg
Pulmonary embolism: Blood clot to the lungs
Keloid (heavy scar): Excessive scarring
Depression (mild depression is normally following elective surgery)
Reactions to medications: Abnormal reaction to medication
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Suture itching
Economic/wage loss
Future unemployment – Loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to go on disability
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
Suprapubic Lift of the Vulvar Structures
RISKS AND COMPLICATIONS
Hemorrhage
Infection
Hematoma: Collection of blood in tissues
Separation of labia minora edges
Separation of clitoral hood and or frenulum from the body of the labia minora
Labia minora scar: Scar of small inner lips
Hyposensation: Decreased feeling
Hypersensation: Increase sensation that can be painful or unpleasant
Varied aesthetic result
Asymmetry of the labia minora: Unequal length of small inner lips
Retraction of the labia minora
Flattening of the labia minora
Suture irritation: Reaction or allergy
Dyspareunia: Painful intercourse
Wound disruption: Wound separation
Need for subsequent surgery
Alteration of vaginal sensations
Compromised introital opening – narrowing of the vagina
Post-operative pain
Prolonged pain
Intractable pain: Pain not responding to medication
Alteration of the female sexual response cycle: Excitation, plateau, orgasm, and resolution
Failed surgery
Psychological alterations
Relationship problems
Sex life alteration
Decreased sexual function
Possible hospitalization for treatment of complications
Lidocaine toxicity
Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside the vagina
Anesthesia reaction
DVT (Blood Clot): Blood clot of the deep vein of the legs
Pulmonary embolism: Blood clot of the lungs
Keloid (heavy scar): Excessive scarring
Depression (mild depression is normal following elective surgery)
Reactions to medications: Abnormal reaction to medication
Nerve damage
Permanent numbness
Slow healing
Swelling
Sexual dysfunction
Economic/wage loss
Future unemployment – loss of career
Need for blood or blood product transfusion with associated risks of blood borne disease
Need to collect Disability benefits
Emotional distress requiring short or long term treatment
Inability to have a fulfilling sex life
Need for extended hospitalization
Chronic fatigue
Chronic pain
Spousal or familial alienation
Medical and legal fees
Regret for proceeding with surgery
