PERINEAL BODY RECONSTRUCTION (PERINEORRHAPHY)

What is perineal body reconstruction?

Perineal body reconstruction is a procedure to repair a weakened and/or damaged perineal body.

What is the perineal body?

The perineal body is a fibromuscular structure between the vagina and anus.

The perineal body is essential for the integrity of the pelvic floor in females. Its damage during the childbirth leads to widening and gaping of the vaginal entrance causing some women to feel loose during intercourse.

Deficiency of the perineal body can be associated with other problems such as vaginal wall prolapse, it may be appropriate to have this repaired at the same time as posterior repair.

What does the operation involve?

It is possible to rebuild the perineal body and tighten the introitus (entrance to the vagina). The operation involves approximating the muscles and fibrous tissue near the entrance to the vagina along with repair of the skin over it with stitches.

The operation normally takes around 30 minutes to complete. It is performed under a general or a regional (spinal) anaesthetic.

Other procedures

If you have prolapse at any other sites (eg. Prolapse of the Uterus (womb)) your surgeon may suggest repairing this at the same time.

What is the recovery like after surgery?

You will stay in the hospital over night. On the first morning after your operation, your catheter will come out and your drip will usually come down. You will be able to eat and drink and move around.

Recovery time varies from woman to woman. It is important to remember that everyone's experience is different, and it is therefore best not to compare your own recovery with that of others on the ward.

The stitches used to repair the perineal body take approximately 6 weeks to dissolve and can be quite sore for about a fortnight after surgery. Your body will be using extra energy to build new cells and repair itself and patients may therefore feel tired for 4-6 weeks after surgery. Most women will resume driving and work in about 4 weeks.

Further information

For more information about recovering from the operation, and what to expect on going home, read our information leaflet: Vaginal repair

External links:

Gaping vaginal opening, with rectocele and deficient perineal body After posterior repair and perineal body reconstruction