Perineoplasty (Perineorrhaphy)

Overview

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.

Preparation

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.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.