{"id":18374,"date":"2023-03-15T11:22:20","date_gmt":"2023-03-15T09:22:20","guid":{"rendered":"https:\/\/cirugiadegenero.com\/dilataciones-vaginales-despues-vaginoplastia\/"},"modified":"2025-12-01T11:36:40","modified_gmt":"2025-12-01T10:36:40","slug":"vaginal-dilatation","status":"publish","type":"post","link":"https:\/\/imgender.com\/en\/vaginal-dilatation\/","title":{"rendered":"Vaginal Dilatation: all about after vaginoplasty"},"content":{"rendered":"

For many trans women, undergoing gender affirmation surgery to achieve an aesthetically pleasing and functional vagina is an important step. There are different techniques: <\/span>penile inversion vaginoplasty<\/span><\/a>, <\/span>colovaginoplasty<\/span><\/a> and <\/span>vaginoplasty<\/span><\/a> involving skin grafts. It is the medical team that will decide which technique is best suited to your medical history and to your personal characteristics and circumstances. To achieve the best results, a woman must agree to undertake certain treatment procedures, including vaginal dilatations after vaginoplasty.<\/span><\/p>\n

In other posts we have talked about surgery, so what are the treatment procedures to be undertaken after vaginoplasty? At IM GENDER we have a treatment guide that is given to all vaginoplasty patients to provide them with detailed information about the whole process, and about the treatment procedures they need to undertake before and after surgery. One of these procedures is vaginal dilatation.<\/span><\/p>\n

What is vaginal dilatation after vaginoplasty?<\/b><\/h2>\n

Vaginal dilatations form a very important part of the postoperative treatment after vaginoplasty. They should be carried out consistently and methodically for at least the first three months after vaginoplasty, whether this takes the form of penile inversion or colovaginoplasty. After this time period, sexual intercourse can begin, and natural penetration will now be able to replace mechanical dilatation.<\/span><\/p>\n

When should vaginal dilatations start? While you are in hospital, between the fifth and seventh day after the operation, the genital area is uncovered. From the seventh day onwards, if confirmed by the attending doctor, daily washings and dilatations should begin.<\/span><\/p>\n

The IM GENDER team will guide you during the first dilatation so that you can learn how to do them, and once you have returned home, you will need to perform them several times a day. There are two types of dilators available for vaginal dilatations, one smaller in diameter and the other larger. Start with the smaller one and after a month, when you are more confident and your muscles are more used to it, you can move on to the wider one. <\/span><\/p>\n

How is vaginal dilatation performed?<\/b><\/h2>\n

At IM GENDER, all trans women who have undergone vaginoplasty are provided with a treatment guide and a dilatation kit. In this kit you will find all the elements needed for washing and dilatation:<\/span><\/p>\n

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  • A <\/span>syringe with a cannula<\/b>, for washing prior to genital dilatation.<\/span><\/li>\n
  • Serum and Betadine<\/b>, which when mixed together will be used to wash the genital area by means of the syringe with its cannula before dilatations.<\/span><\/li>\n
  • Two dilators of different sizes<\/b>, one narrower and one wider. The first dilatations, which you will perform during the first month, will be carried out using the dilator with the smaller diameter. In this way all the muscles of the pelvis will become accustomed to the dilation process. From the second month after the vaginoplasty, once patients have had more time to practise the process and the pelvis has developed a greater degree of flexibility, patients can start to perform vaginal dilatations using the wider dilator.<\/span> <\/span><\/li>\n
  • Lubricating gel and Betadine gel<\/b>, to be used in conjunction with dilators. The lubricant will make it easier to insert the dilator into the vagina. The Betadine will help any wounds to heal.<\/span><\/li>\n<\/ul>\n

    In this video, Dr Trinidad Labanca<\/a>, a specialist in gender affirmation surgery at IM GENDER, explains more about the contents of the Dilatation Kit.<\/span><\/p>\n