Posterior colporrhaphy and perineolevatoroplasty (vaginal and perineal repair)
Restoring anatomy, comfort, and female confidence
Difficult childbirth, age-related changes, or heavy physical exertion often lead to weakening of the pelvic floor muscles and prolapse of the posterior vaginal wall (rectocele). This causes not only physical discomfort and bowel problems but also significantly impairs the quality of intimate life. At St. Luke’s Clinic, we successfully address this delicate problem with a comprehensive operation: posterior colporrhaphy combined with perineolevatoroplasty.
What do these medical terms mean?
This operation consists of two important stages performed simultaneously to achieve an ideal result:
Posterior colporrhaphy: This is a repair of the posterior vaginal wall. The surgeon removes the excess stretched mucous membrane and repositions the rectum, which, due to tissue weakness, protruded into the vaginal lumen (rectocele).
Perineolevatoroplasty: This involves suturing and strengthening the separated pelvic floor muscles (levators) and restoring the aesthetic appearance of the perineum. This stage restores the vagina to its natural narrowness and elasticity.
When is this operation necessary? (Indications)
You should consult a gynecological surgeon if you are concerned about the following symptoms:
Prolapse or descent of the posterior vaginal wall (sensation of a “foreign body”).
Gaping (constant openness) of the genital fissure, leading to frequent microflora disturbances, dryness, and infections.
Presence of coarse, painful, or deforming scars on the perineum after tears or episiotomy during childbirth.
Decreased sensitivity during intercourse, air entering the vagina during intimacy or physical exercise.
Difficulty with bowel movements (due to rectocele formation).
How is the operation performed at St. Luke’s Clinic?
No scars on the body: All surgical manipulations are performed exclusively via vaginal access (through the vagina).
Modern materials: We use high-quality sutures that resorb on their own. You will not have to endure the unpleasant procedure of suture removal.
Safety and painlessness: The operation lasts about 1–1.5 hours and is performed under reliable anesthesia (spinal or general anesthesia). The patient experiences no pain.
Aesthetic result: In addition to restoring health, the surgeon forms a neat and beautiful perineum, returning the organs to their pre-childbirth appearance.
Rehabilitation: what the patient needs to know
After the intervention, you will spend 1-2 days in our comfortable hospital under the supervision of caring medical staff. The period of complete tissue recovery takes about 1.5–2 months.
Important restrictions during the rehabilitation period:
Strictly forbidden to sit at a right angle for 2-3 weeks (you can stand, lie down, or sit on a special orthopedic cushion).
Abstinence from sexual activity for 1.5–2 months.
Limitation of physical activity and weight lifting (no more than 3 kg).
Adherence to a special diet to prevent constipation (to avoid straining).
Why entrust your health to us?
The gynecological surgeons at St. Luke’s Clinic possess modern techniques in reconstructive and aesthetic gynecology. We restore to women not only physical health but also psychological comfort and confidence in their own attractiveness.
Do not postpone a full life for later. Schedule a delicate consultation with our specialist today.
