I Gave Birth 10 Weeks Ago. My Tear Healed Wrong. I Had a Perineorrhaphy to Fix the Tear Site?

Can I have another kid vaginally, or will I get some freakish scar tissue down there since I had to get a 2nd repair done? Why does my perineum look shorter? I read online that sitz baths help, but my doctor told me NO baths for 4 weeks. I wonder why? The original tear & this repair go to the side. That side of my vagina is swollen. Is this normal for now? It's been 6 days since my 2nd repair. It's hard for me to completely poop right now. Is this because I'm still healing or a sign of trouble?

Doctor Answers 3

Difficulty after reconstructive perineoplasty

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Reconstructive perineoplasty creates temporary swelling near the anus and the rectal wall. This makes bowel movements uncomfortable. I recommend laxatives, prune juice and plenty of water for a more comfortable recovery. Vaginal childbirth after a reconstructive perineoplasty risks re-injury to the area that was repaired. It is difficult to comment accurately on the appearance of the perineum without a photo.

Perineal tear and repair

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At 6 days you should still be pretty sore. Remember: the perineum is always lower than your heart so it will hold on to swelling longer than other areas.  Showers should not be a problem at this point.  Wait a few more weeks and see what your doctor says.

Post-op perineorrhaphy

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Although a photo is worth a thousand words, it seems as though you are experiencing rather typical post-op recovery and healing for only six days out from surgery.  I would make sure to address these questions with your operating surgeon during your next visit or sooner.  Glad to help...RAS 

Ryan A. Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 128 reviews

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