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Operations: Incision of introitus of vagina / Fenton’s procedure

Insurance code: P1400

Introduction: This information is written by John Fairbank and is provided for the benefit of his patients. Additional information will be given during consultation in the clinic and during the pre-operative discussion. It is not appropriate for all surgeons’ individual practice or for all patients.

Purpose of operation: Fenton’s procedure is carried out to enlarge the vaginal entrance way when it is either too small from birth or has become too tight following childbirth and healing.

Purpose of operation: To increase the size of the vaginal entrance way to make intercourse or tampon usage more comfortable

Description of procedure: The skin at the entrance of the vagina is incised in a vertical fashion towards the rectum. It is then repaired in a horizontal fashion with a series of fine sutures. This simple plastic procedure increases the diameters.

Anaesthetic: Usually under general anaesthetic but occasionally under local.

Length of stay: Day case

Post-operative management: The vulval skin should be kept cleaned and dry for about three days so bathing and showering are not practical. After three days, normal bathing can be resumed. Salt and anti-septics should not be added to the water. It is usually recommended that the skin is allowed to heal. After three weeks the skin can be gently massaged with one finger. If the vaginal has been very tight a short course of self administered dilator therapy with the Amielle ‘comfort dilators’ may be recommended. Intercourse is only resumed once the patient is confident that she is comfortable.

Potential complications: Complications are rare. Bleeding around the time of surgery would require an extra stitch. Infection in the skin would require a short course of anti-biotics. Wound breakdown could occur if the stitches are put under too much stretch so sex, cycling, and exercise are best avoided until the skin has healed and settled as described above in ‘post-operative’ management.

Post-operative consultation: A follow up consultation will be recommended depending on the indication for surgery and the procedure itself.

Relevant websites

Some information about Fenton’s operation.

Further advice on Fenton's operation

Amielle dilator supplier