Perineoplasty (Perineorrhaphy)


This outpatient surgery helps restore the area between the vaginal opening and the anus. This area is called the perineum. It can stretch and tear when a woman delivers a baby. It can also be surgically cut to widen the vagina as the baby is born, a procedure called an episiotomy. This procedure can repair excess skin and looseness of the vaginal opening that results from a poorly-healed cut or tear of the perineum.


In preparation for the procedure, the patient is positioned and anesthesia is administered. It is typically performed with local anesthesia and mild sedation, but the type of anesthesia given may vary depending on the patient’s need.

Restoring the Perineum

The surgeon carefully trims away excess skin or scar tissue from the perineum and creates an incision to reach the muscles beneath the skin. The surgeon uses sutures to reconnect these underlying muscles to provide support for the vaginal opening. The surgeon carefully closes the perineum to help tighten the opening of the vagina and prevent scarring.

End of Procedure and Aftercare

After the procedure, the patient is monitored for a brief time and then is allowed to go home. The perineum will heal within two weeks, and the patient will typically be able to resume sexual activity within four to six weeks.