Repair of birth injuries
Episiotomy – cutting the perineum in the final part of labor is still the most common obstetric operation. Its significance is in accelerating the end of labor. A clear reason for performing an episiotomy is concern for the fetus (lack of oxygen) or performing an operative delivery (forceps, vacuum extraction). Other reasons are debatable, as episiotomy has its risks. However, during the first birth, the perineum is injured in approximately 85% of women.
Approximately one in six women suffers (at least occasionally) some form of dyspareunia (pain during sexual intercourse) even 6 months after giving birth. The reason may be incorrect treatment technique, healing disorders or the formation of skin folds that narrow the entrance to the vagina. Despite completely correct primary treatment, one in 25 women has these problems.
Plastic surgery of the problem area can remove a poorly healing scar or loosening of the skin fold. It can be assumed that functional comfort and, in many cases, aesthetic appearance will increase.
A preoperative consultation will help you determine whether surgical correction or another type of solution is suitable for you. The procedure can be appropriately supplemented with other non-invasive procedures, such as laser therapy, microneedle radiofrequency, hyaluronic acid application, and others.
How is the operation performed
The length of the operation depends on the extent of the defect. It usually takes about 30 minutes. It can be performed under so-called analgosedation and local anesthesia. Before the actual operation, there will be a final mutual communication during the examination about the extent of the actual procedure. At the beginning of the operation, the actual problem area is identified, which is then surgically treated. Another option is to use a perineal massage or apply a special mixture to the scar, but these methods should be performed repeatedly.
What happens after the operation
The postoperative course shows only minimal pain, which responds well to analgesics. After the operation, you can leave immediately. However, an early check-up at our clinic is recommended after a three-week interval or if you feel a problem.
The specific details of your surgical procedure, including answers to any questions you may have, are the subject of a personal consultation meeting.
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