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The perineum, a crucial area of tissue between the vagina and the rectum, can often undergo stress and damage, especially after childbirth. This can lead to tearing, scarring, and an uneven appearance. Such conditions frequently result in vaginal laxity.
Perineal surgery offers a solution by repairing the damage and restoring the tissue to its pre-pregnancy state. This procedure also involves the reconstruction and tightening of muscles, effectively not only narrowing the vaginal entrance, but helping to correct the vaginal angle, thus providing enhanced vaginal tightness and restoration of correct anatomic vaginal angle for a more satisfying sexual experience for both the patient and her partner.
While perineal repair is often combined with vaginoplasty, it can also be performed as a standalone procedure.
Perineoplasty is typically performed as an outpatient surgery under mild sedation with local anesthesia. The procedure typically lasts between 30 to 45 minutes. Any existing scar tissue is carefully removed, and the underlying muscles and tissue are meticulously reconnected. The incision is then closed with dissolvable stitches.
Perineoplasty can be performed during vaginoplasty or as a standalone procedure. Dr. Karen Toubi’s office provides a pain-free environment for this surgery, with patients typically able to return home after a recovery period of about an hour.
Women who have given birth vaginally and are experiencing symptoms like vaginal laxity, decreased sexual sensation, or changes in bowel habits are the primary candidates for this procedure. However, childbirth isn’t the sole factor; excess weight, pressure and aging can also cause damage to the perineum’s structures, leading to stretched muscles and tissues, contributing to feelings of vaginal looseness and affecting sexual satisfaction.
Most patients can resume work within a few days post-perineoplasty. Pain can be managed with over-the-counter motrin or prescription medication. Minor bleeding in the initial days is common, and wearing a sanitary pad is advised. Keeping the incision clean and dry is essential. Stitches typically dissolve within two weeks, and patients are encouraged to stay hydrated and increase fiber intake to prevent constipation. Normal activities can be resumed after four weeks, while sexual intercourse should be avoided for six weeks.
Have questions about perineal surgery or interested in scheduling a free consultation? Don’t hesitate to reach out to Dr. Karen Toubi’s office today. We’re here to address your concerns and guide you on your journey to enhanced well-being. Contact us now to learn more.
