The perineum is the visible area between the vagina and the rectum. It is the region where episiotomies are cut and where tears during childbirth are most common.
Perineoplasty: is a surgical procedure that repairs torn perineal muscles, weak anal sphincter, and removes excess loose skin after multiple vaginal birth traumas, and builds up the perineum. It strengthens and rejuvenates the relaxed aging perineum, enhances vaginal tightening, helps maintain bowel and wind control, and provides a youthful looking vulva.
Difficult vaginal delivery of a large sized baby, multiple births, episiotomy incisions during delivery, or use of instrumental delivery like the forcepse or vacuum extractor can cause significant perineal trauma and pelvic floor muscle tears, leading to a wide lax vagina, and later pelvic organ prolapse, with urinary and fecal incontinence.
Flatus and stool incontinence may develop due to extensive tears in anal sphincter and perineal muscles, and may need surgical repair, a complete perineal tear or fecal fistula (canal between anus and vagina) may be found and require repair during the procedure.
A perineolasty is an essential step in any vaginal tightening procedure (vaginoplasty), and can be done alone to decrease the diameter of the vaginal inlet for functional and aesthetic reasons.