What Is It?
The perineum is the band of tissue between the vagina and the rectum. Childbirth can tear the perineal tissue, often leading to scars, a disfigured perineum, or even vaginal looseness. Excess weight can also stretch and damage the muscles of the perineum.
A perineoplasty—which is typically done in conjunction with a vaginoplasty—rebuilds the muscles and resurfaces the tissue to tighten the vaginal opening and correct any damage to the perineum.
What Can I Expect?
Perineoplasty is an outpatient procedure performed under local anesthesia. The surgery usually takes 30–45 minutes.
Dr. Falguni Patel will make a V-shaped incision in the posterior wall of the vagina and remove any existing scar tissue. She then brings together the underlying muscle and tissue, and closes the incision with sutures.
There is a post-procedure recovery time of about an hour, after which the patient is free to return home. Most patients can return to work within a few days, and medication will be prescribed to help deal with any pain. Normal activity can be resumed in about four weeks, although we recommend abstaining from sexual intercourse for six weeks.
The perineoplasty procedure restores the normal function and appearance of the perineum, improves self-confidence, and helps renew sexual satisfaction.