The perineum is the area between the vagina and the rectum. It may require surgical repair, or a perineoplasty, due to loosening, tearing or scarring.
Who is a Candidate for Perineoplasty?
During childbirth, you may experience tearing in the perineal tissue or require an episiotomy. While these generally heal naturally, large cuts or tears may require surgical treatment to heal properly. In other cases, scar tissue can change the look of your vaginal area or cause discomfort.
You may also notice stretched vaginal muscles and tissue that leaves you with a feeling of looseness in the vagina. This can be caused by vaginal delivery or extreme weight loss. Vaginal looseness may result in decreased sexual satisfaction. Speak with your OBGYN about any symptoms you may be experiencing to determine if perineoplasty is right for you.
Performing a Perineoplasty
Perineoplasty is an out-patient procedure that typically lasts 30-45 minutes. Your OBGYN will perform the perineoplasty with minor sedation and local anesthesia. Excess tissue and any scar tissue is removed using a small v-shaped incision. The two sides are then rejoined. You will likely be able to return home after about an hour of observation.
Recovering from Perineoplasty
It is recommended you rest with ice and medication for the first three to four days following the perineoplasty. You may experience some discomfort and minor bleeding. Wearing a sanitary pad can help catch any bleeding. Since the incision is closed with stitches, it’s important to keep the area clean and dry. The sutures should dissolve after about two weeks.
You may experience discomfort with urination or constipation. Drinking plenty of water and eating fiber can help reduce the risk of constipation. In addition, you should limit yourself to light activity for four weeks, at which you may resume normal activities. However, you should abstain from intercourse for six weeks following the procedure.
If you have any questions about perineoplasty- speak with your OBGYN.