Perineoplasty and vaginoplasty

When changes to the perineum or vagina bother you after childbirth

After childbirth, the body changes, and getting back to feeling comfortable can take a while. Sometimes, though, a painful scar remains, the vaginal opening feels looser, or intercourse is uncomfortable. If these changes bother you, you can talk them through with us.

First, we’ll listen to you and examine you. We want to know what is causing you problems and what result you would like. The consultation does not commit you to surgery.

What is perineoplasty?

Perineoplasty is a surgical repair of the perineum, the area between the vaginal opening and the anus. It can help with selected scars, birth-related defects or changes in the support of the vaginal opening.

The perineum is made up of several layers. Depending on the findings, it may therefore be necessary to repair not only the skin and the superficial scar but also the deeper supporting tissues. We plan the extent of the procedure individually.

What is vaginoplasty?

In this context, it is a vaginal repair focused on weakened supporting layers of the vaginal wall, often in the area between the vagina and the rectum. The aim is to restore adequate support and correct a specific defect.

Excessive narrowing could cause pain and difficulties during intercourse. When planning, we therefore take into account the function of the whole area and what can be safely achieved. Surgery cannot guarantee an improved sexual experience or orgasm.

Why the procedures are sometimes combined

A childbirth injury can affect both the perineum and the adjoining parts of the vagina. If the changes are connected, it may be appropriate to treat them in a single procedure. For another woman, a smaller scar revision or non-surgical care is enough.

When to come for a consultation

An examination can help with a painful scar, a feeling of a widened vaginal opening, changes to the perineum or discomfort during intercourse. You can also seek advice if air or water enters the vagina, or if you have trouble with tampons or bowel movements. A symptom alone does not determine whether surgery is appropriate.

We’ll also discuss any future pregnancies, because another birth may affect the result of the repair. Depending on the findings, pelvic floor physiotherapy, scar care or other targeted treatment may be considered.

What’s important to know before the procedure

We’ll explain the anesthesia, the planned extent of the procedure and the expected healing. Surgery can be associated with bleeding, infection, wound breakdown, persistent pain, changes in sensation or painful intercourse. Sometimes further treatment is needed.

After the procedure, you’ll receive specific instructions on hygiene, physical activity and returning to your intimate life. Healing usually takes several weeks; it depends on the type of procedure and how your recovery progresses. If you have a fever, increasing pain, foul-smelling discharge or heavy bleeding, contact the facility where you had surgery.

We want you to leave the consultation with a clear picture of your options, including whether it makes sense to continue without surgery for now.

Perineoplasty (perineal repair)

CZK 18,000–24,000

Vaginoplasty (vaginal tightening)

CZK 18,000–24,000

Consultation

CZK 600