A Perineoplasty is a surgical procedure performed to restore the shape of the vagina and anus. The procedure is commonly performed for cosmetic purposes, such as improving the appearance of a droopy vagina.
Patients with this type of surgery typically experience little to no pain, but the recovery period can be long. Here’s what to expect from the surgery and what to expect afterwards. Also, be sure to learn about any potential complications and costs.
Perineal body reconstruction
When the perineum is not strong enough to prevent prolapse, the procedure is called perineal body reconstruction. This procedure involves approximating the muscles and fibrous tissue of the introitus, as well as repairing the skin.
Perineal body reconstruction typically takes thirty minutes to complete and is done under general anesthesia. Click here for more information about general anesthesia. Perineal body reconstruction can be combined with other types of surgery to correct prolapse at other locations.
Before undergoing reconstruction, the surgeon evaluates the patient’s nutritional status and blood parameters. Surgical techniques may include dissection of the recto-vaginal septum, reconstruction of the perineal body, approximation of the bulbocavernosus, advancement flaps, and a reconstructed perineal cavity. Surgical approaches may involve a combination of different techniques, including the use of sutures to fix tissue and suture grafts.
Surgical methods for the reconstruction of the perineal body are various and effective. Perineoplasty with skin advancement flap has relatively few complications, and patients report improved quality of life.
Patients with traumatic PNV may also undergo a laceracao perineal laceration. The best technique for such reconstruction is cirurgia. Although the recovery period is lengthy, it is possible to improve the quality of life for patients.
There are two types of lacerations – second and third-degree lacerations. First-degree lacerations involve the skin, submucosa, and musculature. Second-degree lacerations involve deep lacerations that disrupt the perineal body’s ability to constrict the vulvar opening, leading to pneumovagina. If there is significant tissue damage, a Caslick procedure is needed.
Recovery from a Perineoplasty
The first few days after your surgery are important. Your body needs time to heal, especially the surgical wound. A urinary catheter may be inserted to prevent urine retention. The surgical site will heal quickly if you follow the instructions given by your surgeon.
After a week or two, you can resume light activities such as walking and doing laundry. However, you should avoid heavy lifting until at least six weeks after your surgery. You may be prescribed antibiotics for infection.
Recovery from a Perineoplasty will take several weeks, depending on the extent of your surgery. The surgical procedure will be quite invasive, so expect some pain and discomfort. This recovery period may last from four to eight weeks. If you have had previous surgeries, your recovery time will be shorter.
You should expect a two-week stay in the hospital, as well as some soreness. You can also expect to feel a slight loss of bladder control for a couple weeks after the surgery.
After your Perineoplasty, you should expect to experience some pain and swelling. This is normal. Your surgeon will give you over-the-counter pain medication to ease the pain. You may also receive prescription lidocaine ointment to soothe the incision. Click the link: https://www.mayoclinic.org/drugs-supplements/lidocaine-topical-application-route/description/drg-20072776#:~:text=Lidocaine%20belongs%20to%20the%20family,only%20with%20your%20doctor’s%20prescription to learn more about lidocaine ointment.
You can also expect light bleeding for two to three days. To prevent infection, you should also wear a panty liner or a small pad.
After your perineoplasty, it is important to follow the aftercare instructions of your surgeon. The doctor will recommend some specific rest and ice for three to four days. You should not have intercourse or do any physical activity that puts pressure on the surgical site.
Most patients undergo physical therapy to strengthen their pelvic floor muscles. Using sanitary pads and drinking plenty of water is recommended during this time. After four weeks, you may resume normal activities.
Costs
A consultation prior to perineoplasty costs about $100 and will be applied to the total cost. This initial meeting allows the doctor and patient to discuss your goals and develop a customized treatment plan.
During the consultation, you’ll also get to see before and after photos, review post-surgery instructions, and discuss possible risks. If you don’t follow your doctor’s orders, you may experience temporary incontinence, but that will go away within a few weeks.
The average cost for vaginal rejuvenation is around $6,000 to $12,000, and the overall cost will depend on the complexity of the procedure. Health insurance plans may not cover the cost of the procedure. Thankfully, most patients can finance the procedure through professional financing companies.
Your surgeon’s office can help you with any questions you may have about insurance coverage and financing. If you’re having a baby or are considering Perineoplasty for cosmetic reasons, you can get a quote from a clinic to see what you qualify for.
Once you’ve determined whether you need a perineoplasty, you’ll need to determine how much you’re willing to pay for it. This outpatient procedure usually takes about an hour to complete.
The surgeon removes scar tissue and bulges from the posterior vaginal wall. After the procedure, the muscles are stitched carefully. You’ll be required to avoid sexual activity and certain types of strenuous exercise for about six weeks. Most patients return to work within a few days.
A perineoplasty can range from $6,000 to $9,000, and the total costs include doctor’s fees, anesthesia, and the facility’s fees. You’ll also have to pay for pre-operative appointments, post-operative care kits, and any blood work.
The actual costs of perineoplasty are determined by your doctor after reviewing your medical history and physical exam, as well as your goals and expectations. In addition, the average perineoplasty cost is around $1800, but this may vary depending on the location of the procedure.
Complications
There are several possible complications for this procedure. One possible complication of bladder-vagina leakage after bladder-vagina Perineoplasty is vaginal fungal infection. Women with a history of this condition may experience itching and curd-like discharge after surgery.
Treatment with oral anti-fungal medications and suppositories may be necessary. The surgical site in the vaginal opening is always prone to infection due to fluid from the vagina. The patient should avoid sexual activity for a period of time after surgery to avoid infection.