Revision episiotomy – Vaginal Rejuvenation FL, USA

For efficient and effective revision of episiotomy, trust the talented and experienced surgeon at Plus Cosmetic Surgery Center.

Episiotomy is a surgical incision made at the perineum and posterior wall of the vagina at the second stage of labor to enlarge the vaginal opening to pass out quickly. The process is performed to prevent the third degree of perineal tears and create more space for manipulative deliveries, i.e., forceps delivery. Episiotomy is performed by making an incision from the posterior wall of the vulva to the anus. The process is performed under pudendal anesthesia, and sutures are made after the delivery of the infant. The process is ubiquitous and is served in 12% of the vaginal births in the USA since 2012. Recovery from the episiotomy is painful and has some side effects, such as forming a fistula between the vagina and the anus. Episiotomy also develops a trigger point, leading to painful intercourse and difficulty in the tampon’s insertion. Episiotomy also results in the formation of granulation of tissue, knots, and other abnormalities. The solution to these complications of episiotomy is a revision of episiotomy. Plus Cosmetic Surgery Center is efficient with the latest technologies and has experienced surgeons such as Dr. Rita Shats, who are among the world’s best aesthetic gynecologists. Dr. Rita Shats has received America’s Top Ob/ Gyn award in 2013 and a power woman business award in 2017. Plus Cosmetic Surgery Center aims to be exceptionally efficient with award-winning aesthetic gynecologists, and board-certified obstetricians.

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OR call Plus Cosmetic Surgery Center today at 954-507-6636 to schedule your initial online consultation.

The procedure of revision episiotomy

The revision episiotomy procedure is simple and is performed under local or general anesthesia. Patients are given analgesics along with the injection of lidocaine to numb the area for surgery. Episiotomy is reopened, and to avoid the bleeding from the uterus, above the damaged tissues, a rolled pad or tampon is carefully inserted into the vagina. The episiotomy area is reopened and is sutured carefully and neatly to protect the strains on the tissues. Four procedures can do the process of revision episiotomy as that of the original surgery. Methods are as follow;

  • Mediolateral episiotomy
  • Median episiotomy
  • Lateral episiotomy
  • J shaped episiotomy

Revision of episiotomy is a sexual wellness procedure and is performed along with Vaginoplasty, Labiaplasty, or Perineoplasty according to the patients’ aesthetic and wellness goals.

Who is an ideal candidate for the revision of episiotomy?

Patients who meet the candidacy criteria are advised to discuss their problems, symptoms, history of medical conditions, and the goals of the procedure with the doctor. A patient undergoing revision episiotomy must have the following parameters to fulfill:

  • The patient must be in good health.
  • The patient must know the risks and complications associated with the procedure and have realistic expectations from the surgery outcomes.
  • Patients who are willing to quit smoking before and after the surgery are ideal for revision episiotomy.
  • Patients must have time off for proper recovery from the procedure.

What to expect after revision episiotomy?

Recovery and healing from revision are the same as episiotomy, so many women are hesitant to go again under the same pain and discomfort of the procedure. However, suppose proper care and post-operative instructions are followed. In that case, the previous symptoms that the patient was experiencing will disappear permanently until the next delivery, causing a tear or incision. The patient will have more pleasurable sex and comfort while using tampons.

Following the revision of episiotomy patient will be advised to have pain-relieving medicines as it would be uncomfortable for the patient to sit on her wound. Use of antibiotics and proper cleaning of the treated area is also advised. The complete recovery from the procedure takes place in three to six weeks. Patients should not engage themselves in strenuous activities and sexual intercourse to ensure the revision process’s proper healing.

Risks and complications

Risks and complications associated with the process are rare. However, if pain, unusual discharge, and excessive bleeding occur after the procedure, the patient must consult the physician.

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