Perineoplasty, also known as perineorrhaphy, is a surgical procedure aimed at repairing and reconstructing the perineum, which is the area between the vaginal opening and the anus. This surgery is often considered for women who have experienced trauma to the perineum, such as from childbirth, or those who have undergone episiotomies that did not heal properly. The procedure may also be performed for aesthetic reasons or to rectify issues related to pelvic floor dysfunction. During the surgery, the patient is typically placed under general or regional anesthesia. The surgeon makes an incision in the perineal area and adjusts the muscle, tissue, and skin to restore the perineum to a more natural and anatomically correct state. Sutures are then used to close the incision and ensure proper healing.

The specifics of the surgery can vary depending on the extent of the damage and the individual’s anatomical needs. The surgeon will precisely align the muscles and tissues to not only improve the appearance but also enhance the function of the perineal area. Post-surgery, patients are usually given guidelines on how to manage the surgical site to ensure proper healing and to avoid complications such as infections or tearing. Recovery time can range from a few weeks to several months, depending on the extent of the reconstruction performed. Pain management, along with advice on resuming physical activities and sexual intercourse, will also be part of the postoperative care instructions. Regular follow-up visits are typically scheduled to monitor the healing process and to address any concerns that may arise.