Perineoplasty or Perinealplasty

Detailed explanation of the Perineoplasty or Perinealplasty vaginal surgery process.

Perineoplasty or Perinealplasty

The Procedure


  • On the day of the appointment, you are going to meet Dr. Vitasna for discussion. She will explain the procedure. Consent forms and post-operative care instructions will be discussed and questions will be answered and clarified.
  • You may be asked about your expectations on the treatment.
  • Drug allergies and any condition that wouldn’t make you a good candidate for the procedure will be evaluated.
  • In case of uncertainty, doubt and worry, it is better to postpone the procedure.
  • Refrain from drinking beverages and eating food at least 6 hours prior to the surgery to avoid the risk of aspiration during or after the procedure.


  • During the surgery, Dr. Vitasna will remove the excessive perineum tissues. Thus, the posterior perineal tissues are separated forming a wedge shape or an inverted V shape, and then she will suture both of the wound edges (or two sides of the V shape) with slowly absorbable suture.
  • Dr. Vitasna will do the suturing and tightening along the entire length of the posterior vaginal opening (see illustration). The suturing is done alternatively with 2 or 3 layers to avoid the post-operative complication such as bleeding.


After the procedure, you will be monitored at recovery room for 1 hour. When you are conscious Dr. Vitasna will allow you to return home after the following things are checked…

  • No active bleeding from the surgical wounds.
  • You are asked to review post-operative care instructions.
  • You will be able to urinate after the catheter removal. 

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