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Perineoplasty (plastic of the perineum)

The desire to harmonize sexual life and increase self-confidence comes to many women over time. Perineoplasty will help to get rid of physiological and aesthetic discomfort in the intimate area. In Kyiv, you can make an appointment for the procedure at the Dobrobut clinic, where specialists eliminate delicate problems caused by prolapse (sagging) of the genitals.
Perineoplasty is a modern technique that involves the correction and restoration of the perineal structure in women. The procedure allows you to improve the condition of the intimate area, eliminate age-related changes and improve the quality of life. Prices for perineoplasty depend on the complexity of the pathology and the individual characteristics of the patient, this issue is discussed with the gynecologist of our clinic during the consultation.

Genital prolapse: stages, causes and symptoms

Genital prolapse is a common phenomenon in gynecology, in which the uterus or vaginal walls are displaced or lowered outside the vaginal canal. There is a partial prolapse, when the cervix is visible during straining, or a complete prolapse, when the organ is located outside.

Genital prolapse occurs due to the weakening of the pelvic floor muscles and uterine ligaments as a result of obstructed labor, gynecological operations, perineal tissue tears, and congenital anomalies. The development of the pathology can be provoked by improper postpartum regimen, overweight, constipation, etc.

Complaints and symptoms that may indicate the presence of pelvic prolapse: 

  1. Feeling of a "foreign body" in the vagina.
  2. Periodic pain in the abdomen, sacrum and lower back.
  3. Frequent urge to urinate and urinary incontinence during physical activity, coughing or laughing.
  4. Problems with bowel movements.
  5. Reduced sensitivity during intimacy.

Most often, symptoms occur in women over 40. However, sometimes vaginal prolapse occurs at a younger age and is not associated with childbirth. There are also cases when the pathology is asymptomatic. 

Perineoplasty before and after, indications and contraindications

Intimate plastic surgery allows you to eliminate functional deficiencies of the perineum, eliminate scar tissue and acquired deformities of the external genital organs. After the surgery, a woman gets rid of physiological and aesthetic discomfort, her psycho-emotional state improves, and her sexual life normalizes.

Perineoplasty is prescribed in the presence of the following indications

  • decreased elasticity and tone of the perineal muscles;
  • deformation and tearing of the perineum as a result of childbirth;
  • prolapse of the vaginal walls or pelvic organs;
  • gaping of the genital slit;
  • discomfort or pain during sexual intercourse due to problems with pelvic floor muscle contraction;
  • aesthetic problems associated with the condition of the intimate area;
  • age-related changes.

Contraindications for intimate plastic surgery:

  • рregnancy;
  • exacerbation of systemic chronic pathologies;
  • inflammatory process of the genitals;
  • malignant neoplasms;
  • severe course of extragenital diseases;
  • genital herpes in the acute stage;
  • blood coagulation disorders;
  • decompensated diabetes mellitus.

The decision to perform perineoplasty is made by a gynecologist based on the results of a detailed examination of the patient.

Types of perineoplasty

Classic surgery

This surgical technique of perineoplasty is recommended for patients with severe symptoms of genital prolapse after a specialist consultation, tests, and diagnostic examinations. During the procedure, the doctor performs plastic surgery of muscles and tendons, and sutures them. General or spinal anesthesia may be used. 

Laser perineoplasty

A more advanced way to give the perineum an aesthetic appearance is intimate plastic surgery with a laser. The procedure has advantages over classical surgery due to the high-precision laser operation and better aesthetic results. In addition, laser perineoplasty is accompanied by a shorter recovery period and a lower likelihood of complications.

Thread perineoplasty

Thread perineoplasty is the most popular method of lifting perineal tissues with correction of vaginal prolapse. Minimally invasive surgery involves the use of special threads with notches that tighten the vaginal walls and restore the normal anatomy of the pelvic organs.

Advantages of this method of intimate plastic surgery:

  1. Low tissue trauma due to the introduction of thin threads through micro-punctures in the perineal area and the absence of incisions that are made in a classic operation.
  2. Tightening and strengthening of tissues, restoration of tone and structure of the perineum, improvement of aesthetic appearance.
  3. Stimulation of collagen production and rejuvenation of intimate tissues.
  4. Short duration of the procedure: from 30 minutes to 1 hour and a short hospital stay (up to 24 hours).
  5. Fast recovery period - up to 3 days, the ability to return to intense physical activity - on the 4th-6th week.

Rehabilitation period

The duration of the recovery period and the speed of the body's return to normal after perineoplasty depend on certain factors: the severity of the defect, the type of surgery, the patient's age, and the presence/absence of concomitant diseases.

During the rehabilitation after the perineoplasty procedure, the following steps should be taken

Follow hygienic care as recommended by your doctor;

  • do not stay in a sitting position for a very long time;
  • limit physical activity and sexual activity;
  • avoid hot baths, solariums, baths, swimming pools, and the beach;
  • choose a diet to prevent constipation;
  • in the presence of minor pain, rectal suppositories based on non-steroidal anti-inflammatory drugs can be used.

The duration of compliance with restrictions after intimate plastic surgery is discussed with the doctor during follow-up visits. A regular examination by a gynecologist is advisable to monitor the patient's condition and adjust care as needed.

Concerned about the aesthetic appearance of your intimate area or have functional problems related to it? Reviews about perineoplasty will convince you to choose this method at the Dobrobut clinic, because thanks to the professionalism of doctors, you are guaranteed the best effect of the procedure, restoration of self-confidence and improvement of the quality of life. You can find out the price of perineoplasty in Kyiv by calling one of the numbers listed on our website.

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Perineoplasty (plastic of the perineum)

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Doctors Perineoplasty (plastic of the perineum):
15experience (y.)
Samokhvalova Olena Oleksandrivna
Gynecologist-oncologist; Obstetrician-gynecologist
23experience (y.)
Farion Inna Dmytrivna
Obstetrician-gynecologist; Ultrasound doctor
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