Repair of gaping vaginal introitus (injured perineum)
Having a baby may disrupt muscles that keep the opening of the vagina (vaginal introitus) narrow. The superficial transverse perineal muscle will often tear and retract. Patients often complain their vaginal introitus is "gaping" or sexual intercourse is not the same as it was prior to giving birth to her children. The opening of the vagina is critical in sexual function as 2/3 of the nerves and sensation is in the lower 1/3 of the vagina and therefore includes the opening of the vagina. If this area and/or the rest of the vaginal walls suffer from relaxation or prolapse, sexual function may be affected.
In patients who have the above concerns or complaints and where the superficial transverse perineal muscles are no longer together, these patients are excellent candidates for perineoplasty. The goal of perineoplasty surgery is to restore the normal structure of the external aspect of the vaginal opening in hope of addressing patient concerns mentioned above. This is typically part of vaginal rejuvenation procedures to repair damage caused by vaginal childbirth and restore anatomy of the opening of the vagina which may enhance sexual function and gratification. Other women may want this procedure more for cosmetic reasons, ie they state that the opening of their vagina is “gaping” or “wide open” since having a baby and they would like it repaired for cosmetic and functional reasons. For more information on vaginal rejuvenation procedures please visit our other website www.lvratlanta.com. Perineoplasty is rarely done by itself, typically it is combined with other prolapse repairs for cystocele/rectocele or with vaginal rejuvenation procedures.
Figures: The picture to the left shows a damaged/torn perineal muscles that can result after vaginal childbirth. This results in a gaping vaginal opening which may affect sexual function. The picture on the right is after perineoplasty or repair of the perineal muscles and opening of the vagina. This restores the function and appearance of the opening of the vagina.
Before and After Perineoplasty
What Is Perineoplasty? Perineoplasty is the procedure that restores an injured perineum, which can make the vaginal opening wider than normal.