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Perineoplasty (plastic of the perineum)
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Perineoplasty (plastic of the perineum)

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Perineoplasty is an operation to correct soft tissues in the perineum and vulva area, which solves many delicate female problems. The operation allows you to get rid of the physical and psychological discomfort resulting from age-related or post-traumatic changes in the intimate area. The procedure gives a woman self-confidence, helps to harmonize sexual relations, and returns to an active life.

At the MN Dobrobut clinic, patients are offered the best prices for perineoplasty in Kyiv. Gynecologists perform the operation with extensive experience, who use modern low-traumatic techniques of intimate plastics.

What problems does perineoplasty solve?

With age, the tissues of the intimate area lose their elasticity, the muscles weaken, which is why there is a sagging of the labia and the prolapse of the walls of the vagina. Women experience dryness of the vulva, pain during intercourse, discomfort when wearing tight underwear, and prolonged sitting.

Plastic surgery of the vagina and perineum is recommended for patients over 50 years old when the changes become quite pronounced and interfere with a full life.

Other indications for intimate correction:
  • removal of scars in the perineum that appeared after childbirth, trauma, genital surgery;
  • gaping of the genital fissure, which causes discomfort and increases the risk of infectious and inflammatory diseases of the vagina;
  • restoration of the physiological structure of the perineum;
  • expansion or prolapse of the vagina due to overstretching of the muscular-ligamentous apparatus;
  • discomfort when urinating, urinary incontinence.

Types and advantages of intimate perineal plastic surgery

Today, surgical correction of the intimate area is the most effective and reliable way to get rid of unpleasant problems. In the arsenal of doctors, there are new sparing methods of surgery and modern instruments to make the procedure comfortable and safe. Most often, gynecologists resort to laser and suture plastic surgery of the perineum, which shows an excellent result with minimal trauma.

The main advantages of minimally invasive perineoplasty in Ukraine:
  • the possibility of using local anesthesia;
  • the short duration of the operation (on average 30-40 minutes);
  • no need for hospitalization;
  • shortened rehabilitation period;
  • excellent cosmetic result;
  • complete preservation of the sensitivity of the intimate area.

Classical surgical perineoplasty refers to the more traumatic methods, but it allows you to correct any unwanted changes in the tissues of the intimate zone. Doctors resort to surgery when perineal tissue defects cannot be eliminated by other methods. The surgical intervention takes 60-90 minutes, is carried out under general anesthesia, and requires a stay in the hospital ward for 1 day.

The choice of the method of performing the plastic surgery of the perineum is the area of ​​responsibility of the doctor. Only a specialist will be able to correctly assess the degree of the problem and choose the best option for correcting it for a particular patient.

Contraindications

The good results and affordable prices of floss perineoplasty attract many women, but the procedure has several limitations. Doctors do not perform intimate plastic surgery in such cases:
  • acute vaginitis, colpitis, urethritis, cystitis, and other inflammatory diseases of the female genitourinary organs;
  • venereal diseases;
  • period of exacerbation of chronic diseases of internal organs;
  • decompensated diabetes mellitus;
  • blood clotting disorders;
  • malignant neoplasms of the genital organs;
  • acute mental disorders.

The operation is possible for women of any age if indicated. Young patients who want to have plastic surgery of the perineum after giving birth in Kyiv can plan another pregnancy in the future - the operation will not affect conception, bearing, and childbirth in any way.

Preparing for surgery

Any surgical intervention requires a standard examination of a woman’s health to exclude possible contraindications. After the initial consultation and examination by the gynecologist of the Dobrobut clinic, the patient receives a referral for several studies:

  • clinical blood test;
  • general urine analysis;
  • coagulogram;
  • vaginal smear microscopy;
  • analysis of viral hepatitis, HIV infection;
  • Ultrasound of the pelvic organs.

Prices for perineal plastic surgery in Kyiv are indicated excluding the cost of the preoperative complex. The above is a standard list of studies, however, if a woman has chronic diseases and other health features, a more thorough diagnosis, consultations of narrow-profile doctors may be required.

Recovery period

After intimate plastic surgery with a laser or threads, the tissues heal quickly. Initial rehabilitation takes up to 3 days, after which a woman can gradually return to an active life. Sexual intercourse is allowed on average 4 weeks after plastic surgery.

If the patient underwent extensive surgical plastic surgery of the perineum after childbirth or to correct age-related prolapse of the genitals, the sutures heal after 2-3 weeks. The full rehabilitation period lasts about 2 months. For a speedy recovery after surgery, several rules should be followed:

  • regularly treat the seams with antiseptic solutions;
  • carefully monitor the hygiene of the intimate area;
  • wear soft underwear made from natural fabrics and loose clothing;
  • refrain from sports training and other physical activity;
  • limit bathing in hot tubs, baths, and saunas;
  • refuse to swim in open water;
  • refrain from intimate relationships until complete recovery.

Correctly performed intimate plastic gives an excellent result that lasts for many years. You should not give up the possibility of a comfortable and fulfilling life - come for a consultation with a doctor in Kyiv to solve delicate problems.

An appointment for a gynecologist’s consultation at the Dobrobut clinic is carried out by phone or through the feedback form.

Registration for a consultation

Bibliography

  1. Lauber, Fabienne, et al. Outcome of perineoplasty and de-adhesion in patients with vulvar Lichen sclerosus and sexual disorders. European Journal of Obstetrics & Gynecology and Reproductive Biology 258 (2021): 38-42.
  2. Сауляк, А. А., Ю. Б. Кравчук, and О. І. Боднарюк. Сучасні аспекти естетичної гінекології. Науковий журнал (2018): 67.
  3. Furnas, Heather J., and Francisco L. Canales. Vaginoplasty and perineoplasty. Plastic and Reconstructive Surgery Global Open5.11 (2017).
  4. Ulubay, Mustafa, et al. Safety, efficiency, and outcomes of perineoplasty: treatment of the sensation of a wide vagina. BioMed research international (2016).

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Farion Inna Dmytrivna
Farion Inna Dmytrivna
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Samokhvalova Olena Oleksandrivna
Samokhvalova Olena Oleksandrivna
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“Dobrobut” Multidisciplinary Hospital 24/7 on Idzikowsky Family street
3 Sim'yi Idzykovskykh St (M. Myshyna), Kyiv
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