Perineoplasty is a type of vaginal aesthetic surgery often applied to women who have had a natural childbirth.
What is Perineoplasty?
Perineoplasty is a form of vaginal aesthetic surgery typically applied to women who have undergone natural childbirth. During vaginal childbirth, tearing can occur, and aesthetic stitches are often used for repair. However, in some cases, these stitches can leave noticeable scars or may not heal properly, leading to the need for vaginal aesthetic surgery, known as perineoplasty. The area between the vaginal opening and the anus is called the perineum. While commonly chosen after childbirth, perineoplasty can also be performed on women who have not given birth. The perineal area may suffer from trauma or become loose over time due to aging. In such cases, perineoplasty can be used to restore the area.
Who is Perineoplasty Suitable For?
Perineoplasty is not a procedure for everyone. It may be appropriate for individuals who meet one or more of the following conditions:
- Post-Childbirth Issues: After vaginal childbirth, issues such as perineal loosening, tears, pain, discomfort, or incontinence (urinary leakage) may arise. Perineoplasty is often used to repair perineal tears following childbirth.
- Aesthetic Concerns: Some individuals may want the area to appear tighter and more aesthetically pleasing, which can be achieved through perineoplasty.
- Sexual Function Issues: Perineal issues can impact sexual function. Perineoplasty is used to enhance sexual function and increase comfort in the vaginal area.
- Loose Perineum: Factors such as aging, hormonal changes, or weight fluctuations can lead to loosening in the perineal area. In such cases, perineoplasty can be applied to tighten and rejuvenate the perineum.
How is Perineoplasty Performed?
Perineoplasty begins with anesthesia, either local or general, depending on the patient’s needs. The perineal area surrounding the vaginal entrance is then shaped by adjusting the skin and muscle tissue. Torn or loosened tissues are repaired, excess skin is removed, and the perineal muscles are tightened. Once these steps are complete, the area is stitched, typically with dissolvable sutures, which eliminates the need for suture removal after surgery.
Aftercare for Perineoplasty Surgery
After perineoplasty surgery, it is normal to experience some pain and discomfort. Patients should take prescribed medications as directed by their doctor. Swelling and bruising are also common, and applying a cold compress can help reduce the swelling. Here’s a general overview of the post-surgery care process:
- Dissolvable Stitches: Since dissolvable stitches are used, there is no need to return to the doctor to have them removed, as they will dissolve on their own. However, in some cases, non-dissolvable stitches may be used.
- Healing Time: Recovery varies by individual, but most patients see improvement within a few weeks.
- Urinating Carefully: It’s essential to urinate slowly and pat the area dry afterward to avoid irritation. Avoid pressing or rubbing the area to minimize discomfort.
- Avoiding Sexual Activity: It’s advised to abstain from sexual intercourse for a period following surgery. The specific timeframe depends on individual recovery, so your doctor will give guidance based on your condition.
How Does Perineoplasty Affect Sexuality?
A relaxed vaginal area can reduce sexual satisfaction for some women. Since perineoplasty tightens the perineal area, the procedure often has a positive impact on sexual satisfaction post-surgery. However, in the short term, it may affect the patient’s sexual activity, as it’s generally recommended to avoid sexual intercourse for a few weeks to a few months after surgery, depending on the individual’s healing progress. After this period, many patients experience increased comfort and satisfaction during intercourse. Less pain often leads to greater sexual interest and improved confidence during intimacy.
In general, perineoplasty positively impacts sexual experiences. However, some individuals may feel apprehensive about their stitches during the first post-surgery intercourse, which can lead to tension or hesitation. Discussing these concerns with the surgeon can help alleviate any worries.
