Perineoplasty is considered a safe procedure with a high success rate. It is typically done in an outpatient setting that allows patients to go home afterwards. It results in enhanced sexual satisfaction among women who experience looseness in the vagina and perineum. If done to address a medical condition by tightening the tissues, perineoplasty also provides relief from pain and discomfort associated with the condition.
Patients are advised to rest for several days and avoid sexual contact until the surgical site has completely healed. Vaginal contact with irritants or other chemical substances as well as strenuous physical activities should also be avoided. Most patients are also advised to undergo physical therapy consisting of pelvic floor exercises following the procedure. Patients are cautioned to refrain from having sex for six weeks. It is recommended that any strenuous activity such a bicycling, horseback riding, heavy lifting, or stretching be avoided during this time as well. Tampons should not be used. Most patients should be able to return to work after several days.
Pain and discomfort is usually minimal to moderate and can be treated with over the counter pain medication, or a prescription supplied by the doctor. Minor bleeding and some discharge can occur, and this is normal.
There may be some dizziness or nausea for a day or two as a result of the anesthesia, but this should disappear after forty-eight hours.
The incision must be kept clean and dry. Stitches will dissolve by themselves in about two weeks. It is important to drink lots of water and increase fiber intake during this time to avoid constipation.