The Processes of the Perineoplasty/Perinealplasty
2) After the Perineoplasty/Perinealplasty
You are assured to be well taken care of in a safe and professional way by our highly trained and educated staff. You will be monitored for 1-2 hours at recovery room. When you are conscious with no abnormal bleeding, able to urinate and have reviewed the post-operative care instructions, Dr. Vitasna will allow you to return home. Nausea and vomiting may be experienced, as a side effect of the Intravenous (IV) Sedation Anesthesia, which is noted to be relieved as soon as its effect wears off.
Dr. Vitasna may suggest some women to stay overnight at the hospital. After the surgery, a Foley catheter may be inserted to avoid the retention of urine (due to the tension in the vaginal opening) especially in the first day after the surgery. You will be monitored for 1-2 hours at recovery room. When you are conscious, anesthesiologist will allow you to continue being monitored in Inpatient Building, where you will get an antibiotic, an anti-inflammatory drug, an acetaminophen, and a laxative drug, as prescribed by Dr. Vitasna.
Pain levels depend on an individual’s pain tolerance. Pain varies from person to person. If the pain cannot be relieved from the acetaminophen, the nurse will administer an analgesic by injection as ordered by Dr. Vitasna.
In our hospital, clients can choose to pay for a “pain-free program”, where you will be given a machine that you can control and enables you to give yourself appropriate levels of pain relief.
Within the first 1-2 days after the surgery, you will be able to have movement and walk around. Dr. Vitasna will allow you to return home after the following things are checked; no abnormal bleeding from the surgical wound, the post operative care instructions are being reviewed with you, and you can urinate after the urinary catheter removal.
3) Post Operative Care Instructions at home after the Perineoplasty/Perinealplasty
At home, you must take an antibiotic to prevent post-operative infection, a laxative drug to prevent constipation, an anti-inflammatory drug, and an acetaminophen to lessen the wound pain, as prescribed by Dr. Vitasna. The antibiotic should be wholly completed.
Within the first 1-2 days after the surgery, you should not take a shower which may potentially cause infection–perhaps rub the body dry.
After 1-2 days of the surgery, you are allowed to take a shower. You should clean the surgical wound at the perineum area with soap daily, when you are taking a shower in the morning or before bedtime. Do not put anything to clean inside of the vagina.
Within the first 2-3 days after the surgery, you may experience an urge to pass stool (straining) and a sense of incomplete emptying even after the enema before the surgery. This is caused by the sutured posterior vaginal wall between rectum and vagina, you should take a rest to reduce this symptom (refrain from work) and be still to enable the wound to heal faster. You should have little movement as possible to avoid wound disruption.
You may experience light reddish bleeding out of the vagina in around 1-2 weeks after the surgery. A slim sanitary napkin should be used to monitor the post-operative bleeding. In case of a lot of bleeding or reddish blood clot, swollen reddish wound and high fever, please contact the Hospital for suggestions or come to see Dr. Vitasna for the surgical wound examination.
Within the first 2 weeks after the surgery, cleaning the surgical wound at the perineum area after urinary excretion may be done with sanitary wipes and after fecal excretion done using water and toweling gently. You should try to avoid moisture around the surgical wound to let it heal faster.
After the surgery, you may have all kinds of food, with the exceptions of alcoholic drinks, pickled food, and smoking for about 2 weeks.
You may have abnormal vaginal discharge, a green-yellowish discharge after the surgery, because the vagina is full of secretion fluid and various kinds of bacteria. This can cause reaction to the surgical wound and sutures. Complete absorption of the sutures will usually occur within 6-8 weeks. Green-yellowish discharge may also persist during this time.
You may experience itching or curd like discharge as a result of vaginal fungal, possibly following taking antibiotics to avoid post-operative infection. In case of smelly vaginal discharge or vaginal fungal infection, you have to take additional medications.
4) Recovery period after the Perineoplasty/Perinealplasty
Recovery varies individually, you may return to work after 2 to 3 days of the surgery. Dr. Vitasna will have a post-operative appointment with you within 1-2 weeks after the surgery, you should follow Dr. Vitasna’s appointment for follow up examination or treatment.
Within the first 2 weeks after the surgery, tissues are beginning to produce and form new blood capillaries, and the surgical wound are expected to start healing. You may start your daily activities gradually.
After the first 2 weeks to 4 weeks after the surgery, the surgical wound is expected to heal appropriately, you may start your usual activities gradually, and strenuous physical activities should be limited.
After 4 weeks of the surgery, you may do your usual activities. Relaxing exercises and lifting light weights are permitted. However, you should refrain from running, soaking in the bathtub, swimming, heavy lifting, cycling, other heavy activities, and sexual intercourse for at least 6-8 weeks after the surgery.
If you decide to have a consultation with Dr. Vitasna, please call or e-mail a member of staff to make an appointment date for the surgery.