Perineoplasty Stitches

Perineoplasty Stitches

Perineoplasty Stitches

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.

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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 of perineoplasty 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.


Perineoplasty is the surgical procedure of reconstructing the vaginal opening and the perineum for cosmetic and medical purposes. It is primarily considered a type of functional and/or aesthetic surgery.  It is intended to tighten the external genital area though there are some instances where the procedure is performed to treat certain diseases and medical conditions.

Post-Operative Processes for The Perineoplasty

After the Perineoplasty, you may experience dizziness caused by the Intravenous (IV) Sedation, so you should take a rest until recovery.

You will be monitored for 1-2 hours at recovery room. When you are conscious with no abnormal bleeding, you can have urination by yourself, and you are asked to well review post-operative care instruction, your doctor will allow you to return home.

Your doctor may suggest some women to stay overnight at the hospital, a urinary catheter may be inserted to avoid the retention of urine especially in the first day after the surgery. You will be monitored for 1-2 hours at recovery room. When you are conscious, your doctor will allow you to continue being monitored in the In-patient Building.

In the In-patient Building, you will get an antibiotic, an anti-inflammatory drug, an acetaminophen, and a laxative drug, as prescribed by Your doctor. If the acetaminophen does not work, you will be injected the analgesic for pain relief. You should take a rest to monitor and reduce pain and inflammation around the surgical wound.

A few days after the surgery, you may experience an urge to pass stool (straining) and a sense of incomplete emptying even after the enema before surgery. This is caused by the sutured posterior vaginal wall between rectum and vagina. Taking a rest is recommended to reduce this symptom. Laxative will be given to prevent constipation.

Within the first 1-2 days after the surgery, you can have movement around. The urinary catheter will be removed. After that Your doctor will ensure that no abnormal bleeding from the surgical wound occurs, and you can have urination by yourself after the catheter removal, as well as you are asked to well review post-operative care instructions. Then Your doctor will allow you to return home.

Water Contact & Post-Operative Care Instructions at Home After the Perineoplasty

At home, you must take an antibiotic, an anti-inflammatory drug, an acetaminophen, and a laxative drug, especially the antibiotics should be wholly completed.

Within the first 1-2 days after the surgery, you should not take a shower, which may potentially cause infection –perhaps rub the body dry.

After 1-2 days of the surgery, you are allowed to take a shower. You should clean the surgical wound at the perineum area with soap daily, when you are taking a shower in the morning or before bedtime. Do not put anything to clean inside of the vagina.

Within 2-3 days after the surgery, you should take a rest (refrain from work) and be still to enable the wound to heal faster, and have little movement as possible to avoid wound disruption.

You may experience light reddish bleeding out of the vagina in around 1-2 weeks after the surgery. A slim sanitary napkin should be used to monitor the post-operative bleeding. In case of a lot of bleeding or reddish blood clot, swollen reddish wound and high fever, please contact the Hospital for suggestions or come to see your doctor for the surgical wound examination.

Within 2 weeks after the surgery, cleaning the surgical wound at the perineum area after urinary excretion may be done with sanitary wipes, and after fecal excretion done using water and toweling gently. You should try to avoid moisture around the surgical wound to let it heal faster.

After the surgery, you may have all kinds of food, with the exceptions of alcoholic drinks, pickled food, and smoking for about 2 weeks.

You may have abnormal vaginal discharge, a green-yellowish discharge after the surgery, because the vagina is full of secretion fluid and various kinds of bacteria. This can cause reaction to the surgical wound and sutures. Complete absorption of the sutures will usually occur within 6-8 weeks. Green-yellowish discharge may also persist during this time.

You may experience itching or curd like discharge as a result of vaginal fungal, possibly following taking antibiotics to avoid post-operative infection. In case of smelly vaginal discharge or vaginal fungal infection, you have to take additional medications.

Recovery Period After Perineoplasty

Recovery varies individually.  You may return to work after 2-3 days of the surgery. Moreover, you should follow Your doctor’s appointment for follow up examination or treatment.

Within the first 2 weeks after the surgery, tissues are beginning to produce and form new blood capillaries and the surgical wound are expected to start healing. You may start your daily activities gradually.

After the first 2 weeks to 4 weeks after the surgery, the surgical wound is expected to heal appropriately, you may start your usual activities gradually; and strenuous physical activities should be limited.

After 4 weeks of the surgery, you may do your usual activities. Relaxing exercises and lifting light weights are permitted. However, you should refrain from running, soaking in the bathtub, swimming, heavy lifting, cycling, other heavy activities, and sexual intercourse for 6-8 weeks after the surgery.

Suture Removal for The Perineoplasty

Material (s) used is the suture which dissolves slowly (within 6-8 weeks). However, for some women, the suture takes longer than 6-8 weeks to completely dissolve, consequently causing irritation. For women who experience itching caused by the dissolving sutures and the process of healing, your doctor prescribes antihistamine to control the itching.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best gynecological surgeons in Iran. The price of Perineoplasty in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.

For more information about the cost of Perineoplasty in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.



Perineoplasty Success Rate

What is Perineoplasty or Perineocele Repair?

Perineoplasty, or perineorrhaphy, is a surgical procedure that tightens the entrance to the vagina and corrects damage to perineal tissue, the area between the vagina and rectum.

The procedure can be performed on its own to improve sexual function, but it’s frequently performed along with other vaginal rejuvenation procedures, such as vaginoplasty (which creates a tighter vaginal canal) and labiaplasty.

Most women who have a perineoplasty previously had an episiotomy—a surgical incision that widens the vaginal opening— during childbirth. Even when the incision has been closed with sutures, the sensation of vaginal laxity can remain, or the perineum can feel too rigid.

This plastic surgery procedure can also benefit women with vaginismus (involuntary contraction of the perineal muscles that makes sex painful), a thick hymen, or other congenital conditions.

A 2016 study reported that perineoplasty has a success rate of 87.9% in tightening a wide vagina, along with a partner satisfaction rate of 92.6% during sexual intercourse after 6 months. Complication rates were low.

What Are the Pros and Cons of Perineoplasty?


. Perineoplasty is considered a very safe procedure, with low complication rates.

. It’s an outpatient procedure, so you’ll be able to go home the same day. 

. By addressing vaginal looseness, it can also improve sexual sensation for you and your partner.

. Patients who say perineoplasty was “Worth It” report that it increased their sexual satisfaction, confidence, and control of their bowels. Many of them even describe their results as “amazing.” 


. You’ll need about a week of downtime after your surgery, with swelling and discomfort. 

. You’ll have to avoid sexual activity for six to eight weeks after your surgery.

. Full recovery can take up to three months. 

.  Perineoplasty can’t be performed on women with pelvic organ prolapse, such as rectocele or cystocele; obstructed defecation; or urinary or anal incontinence. It's also not recommended for those looking to address dyspareunia, or pain during intercourse due to tight vaginal muscles.

What happens during a Perineoplasty?

The surgery itself is done under either general or local anesthesia with IV sedation. Using a laser or scalpel, your surgeon will make a V-shaped incision in the vaginal mucosa on the back of the vaginal wall, cutting from the vaginal entryway (introitus) through to the perineum, just above the anal opening.

They will suture the perineal body back together, tightening the levator muscles and covering them with fascia. Then they'll remove any excess skin and scar tissue before suturing the incision closed in a way that will look as natural as possible.

Many surgeons use stitches that dissolve on their own within the first week or two. If yours doesn't, your stitches will be removed at a follow-up appointment about a week after your procedure.

How Long Does It Take to Recover from Perineal Surgery?

The initial perineoplasty recovery period is a few days to a week, depending on whether your procedure was combined with a vaginoplasty. If your job involves heavy lifting or above-average physical activity, you may need to take two weeks off, to help you heal without injury.

You should be fully recovered from a perineoplasty within three months. You’ll have some bruising and swelling for up to two weeks, though most discomfort should subside within a week. Your doctor will likely prescribe pain medication to help keep you comfortable.

Avoid any penetration of the vagina, including tampons or sexual intercourse, for six to eight weeks afterward.

You’ll also need to avoid exercise that puts pressure on the surgical site. Most patients undergo physical therapy to strengthen their pelvic floor, after an initial healing period.

Your surgeon will give you perineoplasty aftercare instructions that should help mitigate potential complications—which include bleeding, infection of the incision, painful intercourse (which should become more comfortable over time), vaginal dryness, constipation, and vaginal and perineal tightness.

They will also recommend a gentle cleanser, to help reduce the risk of infection. Steer clear of irritating chemicals or heavily scented soaps as you heal.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best gynecological surgeons in Iran. The price of Perineoplasty in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.

For more information about the cost of Perineoplasty in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.


10 common questions about Perineoplasty stitches

1What is Perineoplasty surgery?
Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus
2Does insurance cover Perineoplasty?
Perineoplasty is considered cosmetic surgery and health insurance plans don't cover it. There is usually a physician's fee, a facility fee and an anesthesia fee. The exact amounts will vary depending on the specifics of your surgery and the type of anesthesia necessary.
3What is a deficient perineum?
The deficient perineum is a recognized anatomical defect attributable essentially to the trauma of vaginal delivery. We studied, retrospectively, 64 women with the deficient perineum who presented in our unit for other reasons.
4What is Perineorrhaphy repair?
A posterior repair, also known as a posterior colporrhaphy, is a surgical procedure to repair or reinforce the fascial support layer between the rectum and the vagina. A perineorrhaphy is the term used for the operation that repairs the perineal body.
5What is Perineocele?
A perineocele is a rare condition of an isolated central defect and herniation of the posterior perineum in patients without diffuse vaginal prolapse. ... The physical findings included a lack of vaginal prolapse, convexity of the perineum, and an increase in the distance from the posterior fourchette to the rectum.
6Is Rectocele repair painful?
Your doctor may recommend surgery to treat a large or severe rectocele, especially if you have symptoms such as: A feeling of “fullness” in your bowels, even after you have just had a bowel movement. Bulging, pain, and discomfort in the vagina. Difficult bowel movements
7What is a perineal repair?
Surgical repair versus non-surgical management of spontaneous perineal tears. Trauma to the perineum of varying degrees constitutes the most common form of obstetric injury. The perineum is the area between the vagina and rectum which can tear during childbirth. In clinical practice these tears are often sutured.
8Is Mona Lisa procedure covered by insurance?
There are side effects reported for women who undergo the laser treatment. ... A big concern for anyone considering this procedure is that most insurance companies do not cover the MonaLisa Touch procedure and patients must pay an average $2,400 out of pocket to receive treatment
9What is the CPT code for Perineoplasty?
Perineoplasty is the same thing as perineorrhaphy. Since this procedure is included with a posterior repair (code 57250) and you are billing for a combined posterior and anterior repair, the perineoplasty would be included in code 57260 as well.
10What is perineal bulging?
Perineal hernia is a hernia involving the perineum (pelvic floor). The hernia may contain fluid, fat, any part of the intestine, the rectum, or the bladder. It is known to occur in humans, dogs, and other mammals, and often appears as a sudden swelling to one side (sometimes both sides) of the anus.


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