Dr. Tajkarimi performs office perineoplasty under local anesthesia with little pain or discomfort in under 1 hour. Nitrous analgesia is also available.
The recovery phase is usually fast with many women able to return to `light` work within a few days after the procedure. Full recovery is expected within 4 weeks and resumption of intercourse can be within 5 -6 weeks.
What is Perineoplasty?
Normal vaginal delivery can result in widening of the vagina by stretching the tissues and separating
the adjacent muscles. The procedure is often requested by women who have given birth, especially if repeatedly, with the perineal tissues being subjected to tearing during the childbirth or purposely cut (= episiotomy) by a doctor in order to make room for the infant’s head to pass. Despite the healing, some more extensive perineal injuries can lead to a cosmetically disfigured genital area, a gaping opening of the vagina, with loose and slake vaginal tissue.
In many cases, women very narrow distance between their anus and vagina are prone to recurrent urinary tract infections due to frequent fecal contamination of their introtus. Perineoplasty can help lengthen the distance and reduce risk of fecal contamination and infections.
In addition, postpartum vaginal laxity can create a gaping perineum and reduce friction sensation,
diminishing sexual satisfaction.
The few studies that have been done show that vaginal tightening procedures, including vaginoplasty and perineoplasty, are
associated with improved sexual function with low complication rates.
A perineoplasty narrows the genital hiatus length removes redundant perineal skin and distal vaginal mucosa,
and tightens the introitus with approximation of the superficial transverse perineal and bulbocavernosus muscles.
This procedure is ideal for patients without complaints of vaginal laxity, but who are interested in improving the appearance and sexual function of a postpartum perineum.
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