Minimally invasive perineoplasty is an exclusive patented method for recovery of a female intimacy sphere

RELEVANCY OF THE PROCEDURE

As a woman advances in years, not only her face becomes older, but also her private parts of the body. In view of age-specific changes of the organism or postnatal traumas a lot of women experience discomfort throughout all their lives, but keep silent, because they do not know how to tell a gynecologist about it. Clinical evidence of a genital organs disfunction bring women physical and emotional suffering, negatively influence the general well-being, sexual activity, make patients partially or totally incapacitated, lead to a depression, neurotic disorders and aloofness of a personality from society, dissensions in their family life. Minimally invasive perineoplasty with the use of a monofilament synthetic long-dissolvable suture is a modern solution of a functional and aesthetic problem in a female intimacy sphere.

INDICATIONS FOR THE PROCEDURE

This procedure is recommended to women at the age of 21 to 65 who experience reduced sex satisfaction, suffer from recurrent infections in the female intimacy sphere, have initial presentation of a genital prolapse. As a rule, the structure of tissues in the private parts changes by age 40 because of a reduced estrogen production. They lose flexibility, become less elastic, there is often dryness, constant discomfort. This might happen either for genetic reasons, or as a result of a childbirth. Anyway, sex sensations lose their acuity, and external changes also completely do not appeal to the eye. Indications for the procedure:
  • Perineum deformity
  • Incompletely closed vulvar slit
  • Discomfort of sex life (impossibility to contract pelvic diaphragm muscles)
  • Reduced sex satisfaction
  • Increased rate of vulva infectious diseases
  • Age-related changes

ADVANTAGES OF THE TECHNIQUE AND RESULT

  • Aesthetical and functional improvement;
  • Genital prolapse prophylaxy;
  • Cesarean delivery is not necessary in future;
  • Conservative surgery technology;
  • Local anesthesia;
  • Fast rehabilitation period;
  • Suture dissolves within 210 days;
  • Suture brings a fibrose reaction, which leads to formation of a directional connective-tissue framework of the perineum, which, apart from a mechanical support, provides the so-called “postprimary traction vector”, remaining even after the suture completely dissolves:
The fibrose effect remains for up to 3 years

MINIMALLY INVASIVE PERINEOPLASTY TECHNIQUE IN COMPARISON WITH COLPOPERINEOLEVATOROPLASTY

Minimally invasive perineoplasty technique with the help of Perineo Lift suture Traditional colpoperineoplasty
  • Conservative surgery technique
  • Minimally lasting local anesthesia
  • Single antibiotics dosing
  • One-day surgery
  • One hour or more
  • General anesthesia
  • Long-term antibiotics therapy
  • Special surgical instruments
  • Invasive technology
  1. Urogential diaphragm
  2. Bublospongiosus covering the bulb of the vestibule
  3. Dorsal nerve of clitoris
  4. inferior ischiopublic ramus
  5. Motor branches
  6. Posterior labial nerve
  7. Ischial tuberosity
  8. Perineal nerve
  9. Pudendal nerve
  10. Inferior rectal nerve
  11. Anal Sphincter
  12. Levator Ani

MINIMALLY INVASIVE PERINEOPLASTY TECHNIQUE IN COMPARISON WITH COLPOPERINEOLEVATOROPLASTY

Minimally invasive perineoplasty technique with the help of Perineo Lift suture Traditional colpoperineoplasty
  • Conservative surgery technique
  •  Minimally lasting local anesthesia
  •  Single antibiotics dosing
  •  One-day surgery
  • One hour or more
  •  General anesthesia
  •  Long-term antibiotics therapy
  •  Special surgical instruments
  •  Invasive technology

GENERAL SURGERY INFORMATION

in pathogenesis, everybody acknowledges the leading role of the pelvic diaphragm incompetence. surgeries aimed at restoration of the pelvic diaphragm are limited by exposure and enhancement of levators (colpoperineoplasty), as well as by the use of cellular endoprostheses.

INDICATIONS:

  • perineum deformity
  • pelvic diaphragm muscles incompetence
  • incompletely closed vulvar slit and increase in the non-specific colpitis rate connected with it
  • discomfort of sex life
  • first degree colpoptosis

COUNTERINDICATIONS

  • third-forth degree vagina purity
  • acute or exacerbated genital chronic conditions
  • severe extragenital diseases
Note: forthcoming pregnancy in the future is not a counterindication. the surgery performed is not a direct indication for cesarean delivery.

CHECK LIST FOR THE PATIENT EXAMINATION AND PREPARATION FOR SURGERY:

  • general blood and urine tests
  • flora and antibiotic sensitivity test swabs
  • WR
  • blood sugar
  • ecg, therapeutist examination
  • biochemical blood analysis, coagulogram during an intravenous anesthesia
  • external sex organs and vagina sanitation during 3 days before by any means

PRIOR TO THE PROCEDURE

The patient should observe everyday intime hygiene and depilation measures. the procedure is carried out after emmenia (the procedure should not be carried out immediately after and immediately prior to emmenia). оne month before the surgery the patient should stop taking oral contraceptives, 10-20 before the patient should stop taking anticoagulants, antiaggregants (aspirin etc.). if an anticoagulant therapy is necessary, the physician in charge should be warned about it.

OPERATIVE SITE

  • in a minor operation room of gynecology departments
  • in a surgery of women's health clinics and medical centers.

ANESTHESIS

  • phlebonarcosis
  • local anesthesia with a 2 % lidocaine solution of peripheral pudendal nerve branches and peripheral lumbosacral nerve plexus branches

SURGERY TECHNIQUE

after treatment of the surgical field, insections are made on perineum skin, vaginal mucous membrane 1-1,5 cm inwards from the epithalamic commissure and 2,0 cm at the both sides of the epithalamic commissure towards the superior borders of the ischial tuberosities. the insections are made with a scalpel. a monofilament synthetic long-dissolvable clockwise indented suture is put through these insections. the suture is put through fibers of the superficial transverse muscle of perineum. the ends of the suture are tied together without overtensioning to form a correct anatomy of the pelvic diaphragm and vaginal orifice. skin insections are repaired with polyglycolide 2/0 sutures which are removed in 5 days.

NOTE:

localization of skin insections is determined strictly individually depending on the intensity and extent of anatomo-physiologic distortion ratio of the perineum and vulva.

POSTOPERATIVE CARE:

  • one dose intravenous or intramuscular antibiotics delivery
  • nonsteroidal antiinflammatory drugs
  • rectal suppositories (ketonal, diclofenac) during 6-7 days
  • treatment of suture lines with betadine for 5-7 days
  • no need for general anesthesia
  • one may seat on the perineum
  • sexual rest for 3 weeks.

REHABILITATION:

No need for special rehabilitation in 3-4 weeks any exercises aimed at strengthening of pelvic diaphragm muscles may be recommended.