What is Perineorrhaphy?

Perineorrhaphy means stitching of the region associated with the perineum and is usually used synonymously with perineoplasty, which suggests the surgical repair of the perineum. In other words, a surgery that tightens the area between the anus and vagina. It improves sexual satisfaction, restores performance, and helps slim your canal opening after giving birth or trauma. Perineorrhaphies can be classified into two types.
Tightening or loosening of the perineal muscles is selected as the surgical approach depending on the condition being treated. As well as treating pain and cosmetic issues, perineorrhaphy prevents recurrent prolapse and improves sexual function.
However, expert opinion is the basis of its use. This study describes the varying surgical procedures and factors surgeons consider deciding whether to perform perineorrhaphy.

Why Grand Genesis?

  • Largest Private Plastic Surgery Centre in Ontario, fully equipped state of the art facility located in Richmond Hill, efficient and user friendly but more economical than downtown luxury mini clinics

  • 2 Fully Equipped Operating Rooms – 15 Recovery Beds for Overnight Stays

  • 15 Plastic Surgeons (Guest & In house) – 30 Nurses

  • VERY SHORT waiting times for Consult & Surgery

Perineorrhaphy Surgery Done by Following Surgeon:

Dr. Sattari
Dr Shabnam Sattari, FRCSC

Click to read more about her and her background.


The estimated price of the Perineorrhaphy is 4000$. Our surgeon can give you the exact cost after the examination.

Who is a Good Candidate?

Perineorrhaphies are most often performed on ladies who have had a baby via channel delivery and have sustained a laceration of their region or had it purposefully cut (an episiotomy) to accommodate the infant’s head.

Once in-depth area wounds lead to cosmetic disfigurement or an agape vaginal gap that affects sexual enjoyment for a lady and her partner, a perineorrhaphy will reconstruct the vaginal muscles to tighten the opening and repair any tears and disfiguring scars.

Similarly, if perineal connective tissue has resulted in a significantly narrower vaginal opening that makes penetration painful, surgery is performed to expand the channel (called the introitus).

The Procedure

Our surgeries are usually performed on an outpatient basis, meaning you just return on the day of the surgery. The procedure time is typically under an hour and is generally performed with local anesthesia. For patients who need it, intravenous medications are administered to make them feel relaxed throughout the procedure. You and your Dr. can decide which possibility is best for you. You’re positioned on the surgical table as you would be set for an OB/GYN exam. Your external genitalia, thighs, duct and opening are thoroughly cleansed with an antiseptic resolution, and then the unwanted tissue is removed, walking away with an aesthetically pleasing incision. Absorbing stitches are usually used to close skin incisions. These dissolve over some weeks and don’t need removal. In some cases, your Dr. might place a dressing pack within your duct to compress the surgical site and scale back post-op injury and bruising. Your surgeon may also insert a urinary tubing to assist you with release for the first few hours following surgery. The catheter can sometimes be removed before you’re sent home, but, in some cases, it would remain in situ for twenty-four hours.


After the procedure, the patient is monitored but is allowed to go home on the same day. The perineum will heal within two weeks. The average full recovery time of perineoplasty is six to eight weeks. You will not do any heavy work for the primary three weeks or have sexual intercourse for a minimum of 6 weeks.

Possible Complications

You may experience vaginal pain following surgery, so you’ll be prescribed medications and recommended to rest. You’ll be taught to apply cool packs to assist with swelling and discomfort. Some may have a problem sitting well for many days after their surgery; this is standard. It’s conjointly normal to experience dark-brown discharge for up to at least one week following surgery, and then it will start to faint. You’ll be advised to wear a pad to soak up blood or discharge. Before being sent home, you will be informed of typical symptoms of infection (such as chills, fever, nausea and vomiting) and will be asked to contact us if these occur. Drinking lots of water and eating lots of fibre are also essential to avoid constipation. Most of our patients return to work after a handful of days, but you may not able to do any heavy lifting.