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What Is Perineoplasty?

The Perineum is a small area composed of skin and muscle tissue between the vagina and the anus. The perineum can often become highly stretched or extensively torn or damaged as a result of childbirth. Even after healing, many women feel a permanent loosening of their vaginal opening after childbirth, which causes a lot of problems like anal incontinence, vaginal looseness, painful intercourse and unsatisfactory sex. A Perineoplasty is a surgical procedure used for repairing a damaged or loosened perineum. While a Perineoplasty is also a vaginal surgery, it is different from a vaginoplasty or vaginal plastic surgery which is used for tightening the muscles of the vagina.

Who Should Go In For Perineoplasty?
Any woman who is facing problems because of a loosened post delivery perineum can consider undergoing Perineoplasty.

The Perineoplasty Procedure
During Perineoplasty, the perineum is cut and the damaged or stretched skin and muscle tissue are reconstructed and tightened to restore the perineum to its pre-pregnancy stage. The surgery is carried out under local anesthesia and involves hospitalization for a day. Depending upon the damage to the perineum being reconstructed, the surgery can take 30 minutes to an hour.

As a result of perineoplasty, the vaginal opening is tightened to its pre-pregnancy state, which not just increases pleasure during intercourse, but also rids patients of the other problems associated with a loose perineum.

Risks and Side Effects
Like any plastic surgery, a perineoplasty involves the risk of infection or unnaturally heavy bleeding, although chances are minimal and they can be easily remedied with treatment.

perineoplasty - News update:
The authors of this case report highlight the risks associated with using skin-lightening creams. They describe a case in which a 28 year old woman used skin lightening creams for 7 years. She presented with weight gain (12.7kg in 3 years), inability to conceive successfully, recurrent vulval candidiasis, bruising, pigmented striae on her body and a round face. An initial diagnosis of Cushing’s syndrome was made, however, blood results found low levels of cortisol and corticotrophin. After enquiring further about drugs, the patient told the clinicians about the cream she had been applying. The cream had been bought from a local shop not authorised to sell it and the patient was using 60g a week. Further investigations found the cream to contain clobetasol. The authors write, “Patients are often reluctant to admit that they have used skin-lightening creams, especially if these are supplied illegally. Similarly, doctors can be unaware of the need to inquire. But the market is worth millions of pounds a year, in the UK alone. Creams can contain toxic substances, such as steroids and hydroxyquinone - and patients are typically unaware of the risks”. More...

Costs and Healing
Depending upon your geographical location and your choice of clinic, a Perineoplasty can cost anywhere between $3,000 and $5,000. Patients undergoing Perineoplasty will have to abstain from sexual intercourse and heavy physical activity for a month to six weeks. One can return to work within a week of the operation.

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