What is Perineoplasty?

Perineoplasty is a surgical procedure aimed at repairing and tightening the perineum, the area between the anus and vagina. This surgery enhances the support of reproductive organs and pelvic floor muscles, particularly in cases where childbirth, weight loss, trauma, or other factors have caused loosening or damage. The procedure restores the area’s function and appearance, improving comfort and potentially narrowing the vaginal opening​​.

Reasons for Undergoing Perineoplasty

You may seek perineoplasty for various reasons, including:

  • Addressing loose, bulging, or gaping skin around the vagina.
  • Repairing excessive scar tissue following episiotomy or tearing during childbirth.
  • Restoring sensation lost during sex.
  • Alleviating low self-esteem or libido.
  • Resolving vaginal irritation, discomfort, or pain.
  • Treating urinary or bowel incontinence​​.

Additional symptoms you might be facing – A perineoplasty may help.

  • Air that moves in and out causing gas-like noises during sex or at other times
  • Aartner fall out due to weak muscles at the vaginal opening
  • Inability to squeeze vaginal opening muscles
  • Scar tissue causing pain or unsatisfactory appearance
  • Feeling loose or wide

Causes of Perineal Damage

The leading cause of perineal damage is childbirth, particularly vaginal deliveries which stretch the vaginal opening. Other causes include extreme weight fluctuations, trauma, high-impact sports, other gynecological diseases, genetics, and aging​​.

The Surgical Procedure

Performed under local or general anesthesia, perineoplasty involves making a small incision at the vaginal opening, removing excess or damaged skin, and repairing underlying muscular tissue. The procedure typically takes about one hour, and patients can usually return home the same day​​​​.

Recovery and Post-Operative Care

Recovery time ranges from six to eight weeks. Patients are advised to limit activities, refrain from sexual intercourse, and maintain good hygiene in the area. Pelvic floor exercises post-recovery are often recommended to strengthen the area​​​​.

Pain Management and Benefits

While the procedure itself is pain-free, some discomfort may follow, which can be managed with pain relievers. Benefits of perineoplasty include improved sexual satisfaction, increased self-esteem, and correction of functional issues like urinary incontinence​​​​.

Considerations and Potential Complications

Perineoplasty is not recommended for individuals planning more children, during pregnancy, or in the presence of certain medical conditions. Potential complications include dissatisfaction with the outcome, painful sex, infection, and bleeding​​​​.

Cost Factors

The cost of perineoplasty varies based on location, surgeon, and the extent of the surgery. It’s important to note that most health insurances do not cover cosmetic surgeries unless it treats a medical condition​​.

Perineoplasty vs. Vaginoplasty

Perineoplasty is distinct from vaginoplasty, with the former focusing on the perineal area and the latter on the vaginal canal or as part of gender confirmation surgery. However, surgeons may perform these procedures together in some cases