Perineoplasty Procedure

Perineoplasty procedure is a gynecological procedure that is performed to transform the vaginal opening (introitus) into a smaller and tighter area.
The anatomical area can be damaged during vaginal deliveries due to stretching of the skin and muscles, tears or episiotomies, and the aging process. Inadequately healed or repaired lacerations may lead to weakening of perineal muscles and hence decreased muscle tone, impaired function, larger vaginal opening, (introitus), and vaginal gapping. Occasionally inadequately repaired perineum leads to the formation of scar tissue in the perineum and vagina resulting in painful intercourse. Above anatomical changes may affect to a large extent sexual function and sexual satisfaction.

The anatomical area/tissue involved in this type of surgical procedure ( the perineum), extends between the vaginal opening and the tissue extending towards the anal canal. This area contains major muscles which are involved in the process of vaginal delivery, very frequently being overly stretched and injured.

 

 

 

 

 

 

 

 

 

The above image represents the Perineum, which corresponds to the area between the anus and the introitus (the opening) of the vagina.

The goal of the procedure, Perineoplasty is not only performed to restore the anatomy of the perineal body but also to regain sexual function and satisfaction. 

What does Perienoplasty entail?

 

Perineoplasty is performed by approximating relaxed muscles in the perineum and lower vagina and trimming any excessive skin. The procedure, Perineoplasty, may need to be performed in association with a scar revision caused by prior vaginal deliveries or any trauma to the vaginal introitus. The purpose of the repair is to make the opening of the vagina smaller, tighter and to increase muscle tone. 

 

Can Perienoplasty be performed in conjunction with Vaginoplasty Surgery?

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Very frequently Perineoplasty is performed in conjunction with other cosmetic gynecologic procedures including Vaginoplasty Surgery. During a preoperative consultation, each patient is evaluated on an individualized basis and the exact extent of a procedure is discussed and determined. Each patient is presented with Vaginoplasty before and after and Perineoplasty as well.

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