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Perineoplasty Treatment in Hyderabad

Perineoplasty also known as perineorrhaphy is a cosmetic surgical procedure that is performed to repair and reconstruct the perineum (the area between your vagina and anus) and vulva (external organs of your vagina). This procedure is often done to address issues such as vaginal laxity, scarring, or damage that may occur due to childbirth, traumatic injury or the natural ageing process.

Correction of this delicate area requires specific expertise and an experienced surgeon with a thorough understanding of perineal anatomy and function. Dr. A. Maalavika, a renowned cosmetic gynecologist in Hyderabad, has years of experience in perineoplasty and specializes in pelvic floor and reconstructive surgery.


What is Perineoplasty?

The perineum is a vital area that provides structural support to the pelvic organs, including the bladder, uterus, and rectum. It helps maintain the position of these organs within the pelvis. It also contains pelvic floor muscles, which play a crucial role in controlling bladder and bowel movements. These muscles are also responsible for loosening and tightening your vagina, affecting sexual function and satisfaction.

Trauma during vaginal childbirth, whether intentional (episiotomy) or accidental, can lead to damage in this area, resulting in loose and overstretched skin around the vaginal opening and impaired function or appearance. Similar problems can arise from excessive weight loss or hormonal changes in ageing women.

Damage to the perineum can cause various issues including pain, discomfort, pelvic floor dysfunction, infection, scarring, sexual dysfunction, aesthetic concerns, and psychological distress. Perineoplasty in Hyderabad aims to address these issues by strengthening and tightening the perineum, narrowing the vaginal opening, and repairing loose, scarred, or damaged skin around the vagina. This procedure can restore function and comfort and improve the aesthetic appearance of the perineal area.


Benefits of Perineoplasty

  • Repair of damaged scar tissue and/or uneven gaping of your perineum.
  • Restoration of the youthful appearance of your perineum and vulva.
  • Tighter vaginal canal, which improves sexual gratification.
  • Improved bladder leakage/incontinence problem.
  • Correction of deformities or imperfections.
  • Increased self-esteem.

The procedure can also treat other issues such as:

  • Recurrent vaginal infections.
  • Vaginismus (unintentional vaginal contractions during intercourse).
  • Dyspareunia (painful intercourse).
  • Discomfort during tampon insertion or penetration.
  • Genital warts.
  • Vaginal stenosis (narrowing of the vagina, frequently caused by cancer treatment).

Reasons You Might Need a Perineoplasty Treatment

You might consider perineoplasty treatment in Hyderabad if you have:

  • Loose, bulging, or gaping skin around the vaginal opening.
  • Excessive scar tissue from episiotomy or tearing during vaginal delivery.
  • Loss of sensation during sexual intercourse.
  • Low self-esteem due to dissatisfaction with the appearance of the perineum.
  • Decreased libido or reluctance to engage in sexual activity.
  • Vaginal irritation, discomfort, or pain, which may be worsened by perineal issues.
  • Recurrent vaginal infections.
  • Tenderness when touching the perineum.
  • Urinary or bowel incontinence due to perineal muscle damage or weakness.

Who Should Avoid Perineoplasty?

You should avoid the procedure if you:

  • Are pregnant.
  • Have an active vaginal infection.
  • Are experiencing pre-cancerous or cancerous changes that require further examination and treatment.
  • Have vascular issues in your genital area.
  • Have serious blood clotting disorders, as they may increase the risk of significant bleeding during and after the procedure.
  • Have abnormal pap smear results

How is Perineoplasty Surgery Performed?

Perineoplasty in Hyderabad is usually performed under general anaesthesia, although in some cases, local anaesthesia with sedation may be used. After anaesthesia, the surgeon makes an incision in the perineum. The location and size of the incision will depend on the specific nature of the problem being addressed. The surgeon will then repair or reconstruct the damaged or weakened tissues in the perineum. This may involve removing scar tissue, tightening muscles, and/or stitching torn tissues back together. After the necessary repairs have been made, the incision is closed with sutures.

Mostly self-dissolving stitches are used, which dissolve within a week or two. If not, the stitches will be removed during your follow-up appointment, which is typically scheduled approximately one week after the procedure.

The procedure takes around an hour. Following the surgery, you will be monitored in a recovery area until you are awake and stable. After a brief stay at the hospital, you can go home later the same day to recover in the comfort of your home.

Recovery After Perineoplasty

You should be able to go back to work about a week after the surgery. However, like with most procedures, your body requires time to heal after a perineoplasty in Hyderabad.

During the first few days, you may experience some discomfort and swelling in the surgical area. To help manage this discomfort, the doctor may suggest using ice packs and taking pain relievers as needed. The perineum may appear swollen for around 7 to 10 days post-procedure, but the skin usually heals without any complications, and noticeable scarring is rare.

Here are some post-operative instructions that will help you recover more smoothly:

  • Avoid indulging in sexual activity for six weeks after the procedure to minimise the risk of wound breakdown and allow proper healing.
  • Limit activities for at least four weeks, avoiding heavy lifting and strenuous exercise during this time to prevent strain on the surgical site.
  • Maintain hydration and consume a diet rich in fibre to prevent constipation. The doctor may recommend a stool softener if needed.
  • Use sanitary pads if you experience any vaginal bleeding, which is common during the recovery period.

Keep the surgical area clean and dry to prevent infection.


Cost Of Perineoplasty In Hyderabad

The cost of perineoplasty may vary depending on the complexity of the surgery and any additional procedures required. For instance, perineoplasty can also be performed with other vaginal rejuvenation procedures like vaginoplasty and labiaplasty. In such cases, the cost of perineum repair in Hyderabad may vary accordingly.

Therefore, to get a more realistic idea of the cost of perineoplasty in Hyderabad, we advise booking a consultation with one of our experienced surgeons. Our expert will guide you further to understand your condition and provide an expert medical opinion and cost estimate. Your privacy is respected, and all discussions are held in a comfortable and confidential environment. After your consultation, the quoted price covers everything, and there are no hidden fees or extra costs.



1. What is the success rate of perineoplasty?

The success rate of perineoplasty surgery is quite high. In a study, it was found that about 88% of patients had successful outcomes after the procedure. This means that most women experienced improvement in their condition after perineoplasty. Also, when partners were surveyed, around 93% reported satisfaction with the results of the surgery. This indicates that not only the patients themselves but also their partners were happy with the outcome.

2. Is perineoplasty a painful procedure?

Discomfort and swelling for around a week are common after perineoplasty, but pain can usually be managed with medications prescribed by your doctor.

3. Are there any risks associated with perineoplasty surgery?

After a perineoplasty, there might be risks like:

  • Over-tightening of the vaginal opening.
  • Formation of fistulas or abscesses.
  • Risk of infection.
  • Scarring or additional damage to the perineum.

However, these risks are minimal when performed by an experienced surgeon.

4. How long do the results of perineoplasty last?

The result is typically permanent or long-lasting, but it might be affected by significant weight gain, pregnancy, and childbirth.

5. Are vaginoplasty and perineoplasty the same?

No, they are not the same procedures, but they can be related in certain situations. Vaginoplasty serves various purposes. It might be done to tighten or repair the vaginal canal, as part of gender confirmation surgery, or to reconstruct a damaged or absent vagina. On the other hand, perineoplasty focuses on restoring function and tightness to the muscles around the vaginal opening and perineum. Surgeons sometimes perform both procedures together to achieve comprehensive results.



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