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Perineoplasty

Perineoplasty is a significant gynaecological procedure aimed at resolving one of the various challenges women may encounter during their reproductive lives. The perineum, the area between the vagina and anus, can be damaged due to difficulties during childbirth and poor healing processes after an episiotomy (a cut made in the perineum during childbirth). These damages can lead to pain during sexual intercourse, discomfort, and aesthetic concerns. Perineoplasty is a surgical intervention performed to repair these damages and improve the aesthetic appearance of the area.

Purpose and Benefits of Perineoplasty

Perineoplasty aims to repair and aesthetically enhance damaged perineal tissue. This procedure corrects poor stitching scars, removes excess skin, and strengthens perineal muscles if necessary. As a result, it not only provides an aesthetic improvement but also reduces or completely alleviates issues such as pain during sexual intercourse. Additionally, this procedure boosts a woman’s self-confidence and provides both physical and psychological relief.

How is Perineoplasty Performed?

Perineoplasty is typically carried out under local anaesthesia, but sedation or spinal anaesthesia may also be used depending on the patient’s condition and preference. The procedure lasts approximately 45 minutes if only perineoplasty is being performed, but can extend to 1 to 1.5 hours if combined with vaginoplasty.

Procedure Steps:

  1. Evaluation: A detailed gynaecological examination is conducted before the procedure to assess the current condition of the perineum and determine the scope of the intervention.
  2. Surgical Intervention: Poorly healed stitching scars are corrected, unnecessary skin excess is removed, and perineal muscles are strengthened. The goal is to improve the perineum both functionally and aesthetically.
  3. Recovery Process: Patients can usually return home on the same day of the procedure. Mild pain and bleeding are normal during the first few days. Keeping the treated area clean and dry throughout the recovery process is important to reduce the risk of infection.

Post-Procedure Care and Recovery

  • Showers should be avoided for the first 2 days, and water contact with the treated area should be minimized.
  • Special attention should be paid to wound cleaning and hygiene during the first week. Prescribed medications should be taken regularly.
  • Soft and clean underwear should be preferred.
  • If conditions such as bleeding more than a menstrual period, excessive swelling, or sudden colour change occur in the treated area, immediate medical attention should be sought.
  • Stitches usually dissolve on their own within 3 weeks. Activities that could damage the stitching area should be avoided during this time.
  • Sexual intercourse should be avoided for at least 6 weeks to allow the perineum to fully heal.

Perineoplasty positively affects women’s sexual and physical health, enhances self-confidence, and improves quality of life. Women considering this procedure should have a detailed discussion with an experienced gynaecologist and obtain comprehensive information about the procedure. Contact Us Now!

FAQ's

Perineoplasty is a surgical procedure aimed at repairing and improving the aesthetic appearance of the perineum, the area between the vagina and anus. It is often performed to correct damages caused by childbirth, poor healing after an episiotomy, and to alleviate pain during sexual intercourse, discomfort, and aesthetic concerns.

Good candidates for perineoplasty are women who have experienced damage to the perineum due to childbirth, episiotomy, or other reasons leading to discomfort, pain during sexual activities, and aesthetic dissatisfaction with the appearance of their perineal area.

Perineoplasty is typically performed under local anaesthesia, though sedation or spinal anaesthesia may also be used. The procedure involves correcting poorly healed scars, removing excess skin, and strengthening the perineal muscles to improve both the functional and aesthetic aspects of the perineum. The operation usually lasts about 45 minutes to 1.5 hours, depending on whether it is combined with other procedures like vaginoplasty.

Recovery involves mild pain and bleeding in the initial days following the procedure. Patients are advised to keep the treated area clean and dry to prevent infection. Stitches typically dissolve on their own within 3 weeks. Activities that could harm the stitching area should be avoided, and sexual intercourse should not resume for at least 6 weeks to allow complete healing.

The benefits of perineoplasty include the restoration of the perineum’s aesthetic appearance, reduction or elimination of pain during sexual intercourse, and increased self-confidence. This procedure also addresses discomfort caused by excess skin and strengthens the perineal muscles, leading to improved physical and psychological well-being.

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