Excision of old scars on the perineum

Old scars on the perineum can cause significant discomfort and reduce quality of life. Specialists at MC “Dobrobut” offer expert assistance to improve the condition of patients and use modern treatment methods to restore integrity and functionality to this delicate area.

Causes of Scars on the Perineum

Scars on the perineum often result from traumatic factors such as:

• Complicated childbirth, episiotomy, or tears that can leave scars.
• Previous surgeries in the pelvic area, such as cyst removal or treatment of other conditions, can lead to scar tissue formation.
• Infections in the perineal area, which can cause tissue damage with subsequent scarring.
• Chronic skin diseases that can lead to scarring if not treated properly.

Understanding the main causes is important for developing a diagnostic and treatment plan.

Symptoms

Scars in the perineal area can be accompanied by the following symptoms:

• Discomfort or pain in the perineal area, especially during sexual activity or physical exertion.
• Itching or increased sensitivity in the scar tissue area.
• Changes in tissue (redness, swelling, discharge) and appearance of the skin in the affected area.
• Problems with urination or defecation if the scars affect adjacent structures.

All these signs indicate that the formed scars negatively affect the anatomy and functionality of the perineal area, so professional help should be sought.

Diagnosis and Treatment

For quality diagnosis of old perineal scars, the examination usually includes a thorough collection of medical history and complaints, all symptoms, and a physical examination. If complications are present, the doctor may additionally prescribe an ultrasound and other imaging methods to help make an accurate diagnosis and assess possible damage to nearby organs. This approach aids in selecting the optimal treatment option.

Excision of Old Perineal Scars

One of the main treatment options is scar excision. During this procedure, the surgeon removes the scar tissue and, if necessary, reconstructs the underlying tissues.

Procedure steps:

• Anesthesia: local anesthesia is usually used, and sedation may be required for patient comfort in some cases.
• Preparation: ensuring the sterility of the surgical field to reduce infection risk.
• Incision around the scar tissue to reduce damage to surrounding tissues.
• Removal of the scar and damaged or pathologically altered tissues.
• Restoration of the integrity and appearance of the perineal area.
• Application of stitches and dressing.

Advantages of surgical treatment:

• Relief of discomfort and pain after surgery.
• Improvement in aesthetic appearance.
• Long-term results, especially if other methods have been ineffective.

During the recovery period, it is necessary to follow all the doctor's recommendations to ensure faster rehabilitation. During this time, it is important to refrain from heavy physical exertion, visiting baths, saunas, pools until complete healing. It is also crucial to have timely follow-up exams.

Other Methods

In addition to surgical removal, other treatment options may include:

• Laser therapy – a minimally invasive method that can help improve the appearance and texture of scars by stimulating collagen production.
• Steroid injections to flatten raised scars and relieve itching or discomfort.
• Topical treatments – special creams and ointments can help soften scar tissue and improve the appearance of the skin.

Prevention

Complete prevention of scarring is not possible, but some tips can help minimize the risk of their formation:

• Postoperative or postnatal stitches require proper wound care, reducing the risk of scarring.
• A healthy lifestyle, including a balanced diet and adequate water intake, promotes healing and overall skin health.
• Timely treatment of skin conditions or infections helps prevent scar formation.

At the “Dobrobut” clinic, patients receive a comprehensive approach to the diagnosis and effective treatment of old scars until full recovery. If scar tissue negatively affects the functions of adjacent organs and causes discomfort, it is better to seek professional help. You can arrange a consultation and take the first step toward restoring comfort and quality of life through the form on the website or by calling the contact center hotline.