Corrective surgery after perineal tear

Corrective surgery after perineal tear

After childbirth, many women suffer from a perineal tear: the soft tissues that separate the vulva from the anus suffer a laceration when the head or the shoulders of the baby stretch the skin exceedingly. Sometimes the perineal tear is not sutured properly. This may cause severe pains. A corrective surgery of the perineal laceration may alleviate the pain.

A natural (spontaneous) delivery may cause several lesions. Among these, lacerations to the perineum, the vagina, and the inner labia. These lesions don't always heal completely or properly on their own, and eventual scars may be painful when riding a bike or during sexual intercourses. Some women even feel pain without any added stress to the area.

The sutured perineum may be improved with injections or a corrective surgery.

Should you opt for an injection treatment, several sessions at intervals of 1 to 2 weeks will be necessary. The number of needed injections depends on the results of the previous treatments: some women feel a significant improvement after only one session, for others, several sessions may be necessary before feeling any relief.

If the pain does not subside after several treatments, a corrective surgery should be considered as an alternative option. In this case, Dr. Colette Carmen Camenisch will remove the scarred tissue and suture the wound again. The sutures will be absorbed after a few days and, therefore, need not be removed.

Corrective surgery after perineal - what you need to know
  • Duration of the procedure

    Injections
    10 Minuten per treatment

    Surgical procedure:
    Approximately 1 hour

     

  • Hospitalization

    Injections:
    For an injection treatment, a hospitalization will not be necessary. Dr. Colette Carmen Camenisch performs the treatments as ambulatory procedures at Clinic Beethoven­strasse AG in Zurich.

    Surgical procedure:
    Depending on the patient's conditions, Dr. Colette Carmen Camenisch may perform the corrective surgery either as an ambulatory procedure at Clinic Beethoven­strasse AG or, with a stationary stay, in the clinic «Pyramide». Depending on the complexity of the procedure and the healing process you may have to overnight in the clinic for 1 to 2 days.

  • Anesthesia

    Injection:
    An anesthesia will not be necessary

    Surgical procedure:

    General anesthesia

  • Sick leave

    Injection:
    You are fit to work immediately after an injection treatment.

    Surgical procedure:
    The sick leave, depending on body strain, which may be moderate up to severe, lasts 3 to 5 days. Should you be employed in a physically demanding profession, you will be on sick leave for a longer period.

  • Risks

    Injection:
    A corrective surgery after a perineal tear may cause infection, postoperative hemorrhages, and hematomas. Slight swellings and a minor sensitivity to pressure may also occur.

    Surgical procedure:
    Should the sutured area after a perineal tear be corrected with a surgical procedure, local infections, postoperative hemorrhages, and hematomas may occur. You may also experience slight swellings and a minor sensitivity to pressure. Additionally, it may not be completely excluded the possibility that the new scar will also be bothersome, or even painful.

  • Postoperative treatment

    Injection:
    The treatments will take place at intervals of 1 to 2 weeks. No additional postoperative treatments will be necessary.

    Surgical procedure:
    The complete healing and reduction of the swelling may take up to 4 weeks. During this period you must avoid practicing sports and having sexual intercourses.

  • Costs

    The costs may vary depending on the complexity of the procedure and will be agreed upon in advance. The price is inclusive of all services, such as the consultation, the surgery, the anesthesia, the medications, the hospitalization, and the follow-up controls.

    Your insurance may cover a portion of the costs. Our staff at Clinic Beethoven­strasse AG will gladly clarify if your insurance covers any of the costs.

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