What is Perineoplasty (Perineal Area Aesthetics)?

Perineoplasty is a surgical procedure that focuses on deformities, defects, damages and defects of a woman’s anus and vagina. Specifically, the surgery removes scar tissue, unsightly bulges, and unwanted skin and then tightens or relaxes the perineal muscles and vagina.

An additional benefit of perineoplasty is that by making these adjustments, the surgery also serves to restore the woman’s self-confidence and physically increase her levels of sexual pleasure.

What is perineum?

The perineum is the area between the anus and the vagina. Although small, the perineum has the important role of being a structural support for many surrounding organs and includes muscles that play a major role in vaginal tightening and loosening.

What Could Cause Perineal Damage?

Having a particularly difficult vaginal birth is the most common cause of perineal damage. Even an uncomplicated birth can cause physical trauma to the vaginal and perineal muscles. Sometimes an incision (episiotomy) is made in the perineum to allow the baby to come out more easily. Carelessly performed stitches by a less experienced doctor to correct a natural tear or planned cut can result in improper healing of tissue, muscle, and perineum. This can result in severe scarring, pain and discomfort. Of course, multiple births can worsen these problems. Perineoplasty can correct these and ensure proper healing by reopening the stitched area and re-stitching it correctly.

Overweight and obesity can strain the entire body, including the perineum and the structures it supports. It can also strain muscles, causing them to lose flexibility.

Rapid weight loss due to illness or extreme dieting leads to sagging and destruction of excess skin. While these unsightly effects can appear outside the body, they can also occur internally and cause permanent sagging of the perineum and other muscles, even when the weight pressure is removed. It may regain its original shape for a while during the day, but eventually after a few years the indentations and depressions become permanent.

What Other Conditions Does Perineoplasty Treat?

vaginal itching
Vaginal laxity: (Looseness of the vaginal opening, which may cause decreased sexual sensation)
Vaginismus: (involuntary contractions of the vagina during intercourse attempt)
Vulvar vestibulitis: (severe pain during penis or tampon insertion)
genital warts
Incontinence: (involuntary loss of urine)
Intraoital vaginal stenosis: (a narrowing of the vagina usually caused by cancer treatment)
Dyspareunia: (pain during intercourse due to a small vaginal opening)
Cystocele: (protrusion of the bladder into the vagina)
Rectocele: (protrusion of the rectum into the intestine)
Aesthetic improvement: (tightening of loose or sagging tissue, protrusions to give the area a more attractive visual appearance).

Risky pregnancy or high risk pregnancy; These are pregnancies that have an additional disease before or during pregnancy, or where there is a risk of miscarriage or a risk of disability in the baby in the scans.

In cases where normal vaginal birth cannot be performed, the method used is cesarean delivery. In cases where normal birth is considered, a caesarean section can be performed urgently, or a caesarean section decision can be made by prenatal planning. If it is determined that a cesarean section will be performed before birth, the date and time of the procedure can be determined.

Caesarean section is a birth technique performed under operating room conditions and anesthesia. In this procedure, the baby is removed from the mother’s womb by making an incision first in the abdomen and then in the uterus. Then, the incisions are closed with stitches and the birth is completed.

Aginal discharge is the fluid secreted from small glands in the vagina and cervix. This fluid leaks from the vagina every day to flush out old cells and debris, keeping the vagina and reproductive system clean and healthy. Vaginal discharge may occur from normal changes in estrogen levels

In uterine prolapse, the muscle around the vagina, connective tissues, and the nerve that holds the pelvic organs and tissues in place, break as the muscle tissues weaken and prolapse occurs outside the vagina. It occurs due to reasons such as normal birth, insufficient estrogen, and old age.

Sexually transmitted diseases that can be treated are: Syphilis, gonorrhea, chlamydia, and trichomoniasis. The 4 most common sexually transmitted diseases are; hepatitis B, herpes simplex, HIV (AIDS) and HPV cannot be fully treated