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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.
Perineoplasty surgery, a form of vaginal reconstruction 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 vaginal reconstruction surgery procedure.
Here is the procedure. During a perineoplasty the patient is taken to the clinic for minor surgery. To put the patient at ease and get her ready for the procedure a mild sedative is given along with local anaesthesia. The actual surgery is normally less than an hour between 30 to 45 minutes.
At first, the surgeon will get rid of the scar tissue present, and then he will join the muscles and tissues present under the skin to those in the vulva area of a woman’s genital area as part of the vaginal surgery. When this stage is complete the surgeon will close the incision wound by means of stitches which will dissolve in time.
Perineoplasty can be performed during vaginoplasty or as a standalone procedure. Dr. Karen Toubi’s Beverly Hills 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. For many patients, perineoplasty surgery in Beverly Hills combined with broader vaginal reconstruction surgery offers the most comprehensive, lasting results.
The majority of patients are expected to be able to go back to work a few days after a perineoplasty. Pain can be adequately controlled with over-the-counter drugs like motrin or stronger prescription analgesics. It is to be expected that a small amount of bleeding will persist through the first few days post-surgery, and the use of a sanitary pad during this period is recommended. Cleaning and keeping the area around the wound dry is very crucial. The sutures usually fall off completely in two weeks. The doctors always recommend patients to remain well hydrated and consume high fiber foods so as they don’t get constipation. One can return to a regular lifestyle about forty days after surgery; sexual relations, however, should not be resumed within six weeks.
Have questions about perineoplasty surgery or are interested in scheduling a free consultation? Don’t hesitate to reach out to Dr. Karen Toubi’s Beverly Hills 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.
Perineoplasty involves primarily repairing and tightening the perineum which is the tissue situated between the vagina and rectum. On the other hand, vaginal reconstruction surgery is a much more comprehensive medical procedure which usually includes, but is not limited to, perineoplasty and may also encompass vaginoplasty as a single part of it. Quite a number of women decide to have both procedures at once to restore their genital area completely.
A perineoplasty operation is usually done under light sedative combined with local anaesthesia so that the patient experiences almost no pain or a minimum of pain. During the healing time there could be a bit of discomfort that can be relieved most of the time by taking painkillers from the counter or a prescription.
Most of the patients are going back to work after some days, doing regular things is expected to be around 4 weeks after, and 6 weeks after the operation one may safely have a sexual activity. The stitches will almost surely dissolve in 2 weeks.
Women who have undergone vaginal childbirth may still be eligible for treatment if they are having difficulty in relation to vaginal tightness, lack of feeling, or if the tissue surrounding the vagina has been torn. In addition, perineoplasties are most often done when other problems also occur, such as aging, excess weight, or pressure on the pelvic floor, and the patient needs surgery.
Yes. Perineoplasty is often integrated with vaginoplasty as a combined surgery for vaginal reconstruction, but of course, the individual surgical procedure of perineoplasty, for instance, can be done independently according to the patient’s conditions/requirements.
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