Perineorrhaphy is a surgical procedure aimed at repairing or reconstructing the perineum, the area between the vaginal opening and the anus. This procedure is often performed following childbirth or trauma to the perineal region, such as tears or episiotomies.
Perineorrhaphy addresses issues like excessive stretching, lacerations, or disruptions to the pelvic support structures, which can impact both functional and aesthetic aspects of the area.
Why It’s Needed
Restores pelvic support
Perineorrhaphy Improves sexual comfort
Prevents urinary/bowel leakage
Enhances aesthetic appearance
The Procedure: What to Expect
Before Surgery
Consultation: Exam to assess muscle/tissue damage
Anesthesia: Local, spinal, or general (based on complexity)
During Surgery
Repair & Tightening:
Torn muscles are reconnected
Excess skin may be trimmed
Sutures used to reinforce pelvic floor
Additional Fixes (if needed):
Vaginal tightening (vaginoplasty)
Bladder support (for prolapse)
Duration: 1–2 hours (outpatient or short hospital stay)
Recovery & Aftercare
Timeline
What to Expect
Care Tips
First 3 Days
Swelling, mild pain
Use ice packs, pain meds
1–2 Weeks
Stitches dissolve
No heavy lifting, gentle cleansing
4–6 Weeks
Full healing
Resume intimacy after doctor’s OK
Do’s & Don’ts
✅ Do:
Use a peri bottle for cleaning
Wear loose, breathable clothing
Take sitz baths for comfort
❌ Avoid:
Tampons/sex until cleared
Strenuous exercise (6+ weeks)
Prolonged sitting (use a donut pillow)
Benefits vs. Risks
Benefits
✔ Reduced pain during daily activities/sex
✔ Stronger pelvic floor (less incontinence risk)
✔ Restored confidence in body function
Risks (Rare)
Infection
Scar tissue discomfort
Need for minor revisions
Who Is a Good Candidate?
Women with painful scarring after birth
Those with pelvic heaviness/prolapse
Anyone bothered by looseness or discomfort
Consult a urogynecologist or pelvic surgeon to discuss options!
FAQs
Q: How long until I feel normal?
A: Most women feel significantly better in 2–4 weeks (full healing in 6+ weeks).
Q: Will it affect future childbirth?
A: Possibly—some doctors recommend C-section after major repairs.
Q: Is it covered by insurance?
A: Often yes if medically necessary (e.g., prolapse, incontinence).
Dr. Parvaneh Sherafat is a distinguished gynecologist based in Tehran, Iran, specializing in obstetrics, gynecology, and infertility. She is affiliated […]
