What is Perineoplasty?
Perineoplasty, also known as Perineorrhaphy, is a surgical procedure that tightens the vaginal opening and repairs damage to the perineum (the area between the anus and the vagina).
The perineum plays a significant role in vaginal tightening and loosening. The purpose of this procedure is to restore women’s confidence by increasing their quality of life and sexual pleasure and improving the appearance of the skin and the opening.
What are the reasons for having Perineoplasty?
Women undergo perineoplasty for various reasons, such as:
- Perineal damage after giving birth.
- Sagging of the perineum due to excess weight.
- Presence of unsightly scars.
- Pain or dissatisfaction during sexual activity.
- Persistent infections in the vaginal area.
How to prepare for Perineoplasty?
During the consultation, our experienced gynecologist will review your medical history and perform a physical exam to determine the procedure that suits your needs. They will also explain the various treatment options and the potential outcomes, benefits, and complications of the procedure and provide you with instructions to help you prepare for your surgery.
What happens during Perineoplasty?
Perineoplasty takes around an hour and is performed under general or local anesthesia.
During Perineoplasty, our surgeon will remove excess tissue and skin at the vaginal opening. The perineal muscles and vaginal opening are then either tightened or loosened to correct the condition, (depending on the cause for the surgery), and then the wound edges are meticulously sutured together.
What should I expect after Perineoplasty?
You may experience soreness in the treatment areas, and the perineum may swell for a week or two following the surgery. The pain is usually mild to moderate and can be managed with over-the-counter pain relievers.
Most patients are able to leave the hospital within a few hours after the procedure and return to work after a few days. Patients are advised to refrain from intense sport or sexual activity for six weeks after Perineoplasty to allow proper healing.
How long does this procedure take?
Although the duration of the surgery can vary from one patient to another, you can expect it to take between one and two hours.
What to Expect After Perineoplasty Surgery
Recovery after perineoplasty varies from person to person, but most patients can expect gradual improvement over several weeks. The procedure is designed to repair and strengthen the perineal tissues, often improving comfort, function, and confidence.
Immediately After Surgery
- Mild to moderate pain, swelling, and bruising are common during the first few days.
- You may experience slight spotting or light bleeding.
- Your surgeon may prescribe pain medication and, if necessary, antibiotics.
- Most patients return home the same day.
During Recovery
- Swelling and discomfort usually improve within 1–2 weeks.
- Most women can return to desk work and light daily activities within 1–2 weeks, depending on their recovery and their surgeon’s advice.
- Avoid heavy lifting, strenuous exercise, and activities that place pressure on the surgical area for approximately 4–6 weeks.
- Maintain good hygiene and follow all wound care instructions to reduce the risk of infection.
Sexual Activity
Sexual intercourse should generally be avoided for 6–8 weeks, or until your surgeon confirms that healing is complete.
Follow-Up Care
Your surgeon will schedule follow-up appointments to:
- Monitor healing.
- Check for signs of infection or complications.
- Answer any questions about your recovery.
- Advise when it is safe to resume normal activities.
Expected Results
As healing progresses, many women experience:
- Improved perineal support and muscle tone.
- Greater comfort during daily activities.
- Improved comfort during sexual intercourse, when appropriate.
- Better confidence and quality of life.
When to Contact Your Perineoplasty Doctor
Seek medical attention if you experience:
- Heavy bleeding.
- Increasing pain that is not controlled with medication.
- Fever or chills.
- Foul-smelling discharge.
- Severe swelling or redness.
- Difficulty passing urine or bowel movements.
Following your surgeon’s postoperative instructions and attending all follow-up appointments can help promote healing and optimize your results.
Cost of Perineoplasty Surgery in Dubai & Abu Dhabi
The cost of perineoplasty in Dubai and Abu Dhabi typically ranges from AED 10,000 to AED 30,000, depending on the complexity of the procedure, the surgeon’s expertise, the hospital or clinic, anesthesia fees, and whether additional intimate rejuvenation procedures are performed at the same time. Most clinics quote AED 10,000–15,000 for a standard perineoplasty, while more complex cases may cost more.
| Procedure | Estimated Cost |
|---|---|
| Perineoplasty | AED 10,000–15,000 |
| Complex Perineoplasty | AED 15,000–30,000+ |
Factors That Affect the Cost
The final cost may vary depending on:
- The severity of the perineal damage or laxity.
- The surgeon’s experience and qualifications.
- Hospital or surgical facility fees.
- Type of anesthesia used.
- Pre-operative investigations and post-operative follow-up care.
- Whether perineoplasty is combined with other procedures such as vaginoplasty or labiaplasty.
A consultation with a specialist gynecologist or urogynecologist is recommended to determine the most appropriate treatment plan and receive a personalized cost estimate.
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