Episiotomy - Perineoplasty

The birth incisions made to facilitate exit of the baby or the fissures occurring spontaneously during a normal delivery may heal badly and disturb the individual in terms of appearance...

The birth incisions made to facilitate exit of the baby or the fissures occurring spontaneously during a normal delivery may heal badly and disturb the individual in terms of appearance and they may also cause complaints such as pain, vaginal noises during sexual intercourse. The badly healed scar tissue can be repaired aesthetically with an easy operation under local or general anesthesia. The vaginal tightening procedure can also be carried out during the same operation if necessary.

What is Episiotomy?

Episiotomy is a controlled incision made at the entrance of the vagina so that the baby's head can come out more easily during normal delivery. The episiotomy incision made to reduce the tension in the vaginal and anal regions protects the vagina against uncontrolled tears and the neighboring tissues, anus, urethra (urinary tract after the urine bag and providing discharge of urine) against uncontrolled injuries. Obviously, such uncontrolled injuries can be prevented not only with the measures we take but also with the observance of our instructions by the mother. Otherwise, the mothers who are acting in a nonconforming manner, tired of laboring may have tears (dechirure) when they push in an uncontrolled manner, despite the episiotomy.

Is episiotomy applied in every normal delivery?

Episiotomy is generally applied in the first delivery and when the vagina is not flexible enough to let the baby's head out. However, there is no rule such as always making episiotomy in the first delivery nor a rule such as never making episiotomy in the second or third delivery. Therefore, episiotomy is decided during the delivery, on the basis of the condition of the vaginal tissues.

How is episiotomy performed?

After the vulva has opened fully to let the baby pass through the birth canal, i.e. the baby has proceeded in the birth canal as much that the baby's hair can be seen, during the normal delivery, an incision is made at the entrance of the vagina with scissor upon the first labor pain. This procedure is applied under local anesthesia. Episiotomy can be made in various directions, but mostly the 6, 7 and 8 o'clock positions are applied.
After the delivery, episiotomy is repaired with melting stitches. In this process, pain can be felt on the suture line. It may take a few weeks that these stitches are absorbed by the body and the scar heals. In this process, the suture line can be cleaned with Batticon, and the patient can take a shower.

Caution !!!
• If you notice that the stitches are open
• If you notice bad odor and discharge from the scar
• If you cannot sit on it or feel extreme pain when you sit, you must consult your doctor immediately.

Due to recent popularization of the genital aesthetic operations, numerous patients do not like their episiotomy sutures and apply to learn if they can be done over. Of course, they are the operations we have a chance to do the necessary repair over. It is possible to make the region appear as if it had not been cut at all by removing the damaged tissues, bringing the edges of the wound together properly, and using aesthetic stitches. At this stage, it is necessary to have a good wound site care and nutrition.

What is Perineoplasty?

Perineum is the skin, subcutaneous connective tissue, and the muscle tissue between vagina and anus. As the number of normal deliveries rises and the person gets older, the vaginal tissues become less tight, less elastic, and wider than before. This causes the couples to have more difficulty in feeling each other during sexual intercourse, which in turn causes to have less pleasure in sexual intercourse. This results in sexually unsatisfying and unhappy relationships.
The perineal aesthetic operations called perineoplasty are done mostly to repair episiotomy scars. The episiotomy stitches not healed properly after delivery, open or inflamed stitches, or improper healing of the perineal tears left to heal without stitching may cause visible aesthetic problems in the perineum. Such aesthetic problems are caused not only by delivery. Structural anatomical disorders, and improper healing of the wound site after the bartholin's cyst surgery also causes aesthetic problems. Together with this operation, the other genital aesthetic operations like vaginoplasty (vaginal tightening) and labiaplasty (labia minor aesthetic) can also be done as per the patient's request.