The visible area between the vagina and the rectum is called the perineum. This is the region where episiotomies are cut and where tears during childbirth are most common. Perineoplasty (or Perineorrhaphy) aims to make this region appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles or the perineal body closer together to give a more snug feeling in the introitus or vaginal opening.

Perineorrhaphy is the surgical repair of perineal lacerations and of vaginal opening looseess. It is a reconstruction of the muscles and tissues at the opening of the vagina. The procedure is very good at decreasing the size of the vaginal opening and does not reduce sensation.

Effects of Perineorrhaphy

This is a procedure repairing the opening of the vagina which may be done under conditions where the woman complains of urinary incontinence, vaginal dryness, and unpleasurable intercourse or sexual dysfunction due to looseness of the perineum (stretching of the vaginal opening). Perineorrhaphy allows for the tightening of the vaginal opening and its surrounding structures.

Candidates for Perineorrhaphy

Perineorrhaphy is a surgical procedure done to address perineal body relaxation manifesting in women having wide and relaxed vaginal openings which may lead to weakness of the pelvic support structures or prolapse.

Perineal lacerations and looseness may be experienced by women who:

• Have had multiple child births
• Experienced injury and strain during childbirth (long difficult labors in the pushing stage)
• Gave birth to large babies
• Have had inadequately or incompletely healed episiotomies performed at the time of child birth
• Are in their advanced stage