Perineum and pelvic floor repair in London
Traumatic childbirths with resultant tearing of the vaginal and labial tissues can be a significant source of distress and loss of function. Common end points of difficult childbirths can be visible scarring and distortion of the vagina tissues which can be a cause of pain and discomfort. Sometimes the surgical repair immediately after childbirth to repair the torn and stretched tissues is suboptimal. Women can develop a loss of confidence and may experience discomfort during sexual intercourse from residual scar tissue. Dr Dimitriadi in an expert in the use of vaginal laser for mild to moderate cases of pelvic organ prolapse.
More severe cases may result in weakness of the pelvic floor muscles which act as a supportive hammock for the uterus, bladder and rectum above. When this structural support is weakened, it can lead to pelvic organ prolapse. Difficulty in passing urine may occur and in severe cases, urinary incontinence may develop which can be a very socially disabling condition.
Our gynaecologists are expert in the repair and restoration of the vagina and pelvic floor. This can lead to a significant improvement in ones self confidence and self-esteem. Surgical treatment such as vaginoplasty can be both aesthetic and reconstructive in nature depending on the underlying problem whether it is issue is in the perineum or deeper in the underlying vaginal tissues. You can be assured of being in excellent hands for your vaginal repair and reconstruction procedure at our specialist gynaecology clinic at Centre for Surgery in London.
Our gynaecology clinic at 106 Crawford Street was recently inspected and rated by the Care Quality Commission as good across all five domains of care.
RealSelf Top Doctors
RealSelf top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and after investing significant time in Q&A and other doctor activity. RealSelf top doctors are rated among the very best surgeons in the United Kingdom and USA.
Pelvic floor repair specialists
Dr Paraskevi Dimitriadi is a specialist aesthetic gynaecologist and has trained at some of the world’s leading hospitals in all aspects of gynaecology including laser gynaecology. Dr Dimitriadi continues to practice in a major London teaching hospital. She takes an active interest in research into aesthetic gynaecology and lectures both nationally and internationally on a range of topics in aesthetic gynaecology. She is a full member of the European Society of Aesthetic Gynaecology (ESAG).
As a female surgeon, Dr Dimitriadi understands her patient’s most delicate needs and preferences, which allows her to create a personalised and bespoke vaginal rejuvenation treatment plan to meet the patient’s goals. She is regarding as one of the top cosmetic gynaecology surgeons in London by her peers and brings years of experience to each and every procedure she performs. Dr Dimitriadi brings together her expertise across both surgical and non-surgical gynaecological treatments – unrivalled in London and exclusive to Centre for Surgery.
Dr Dimitriadi is known for her caring, patient-centred approach, supporting all her patients and she always strives to optimise patient outcomes at stages of the patient journey.
Perineal and pelvic floor repair treatment
- As many preoperative consultations with your surgeon as you like to make sure the procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator to act as your personal point of contact throughout the patient journey
- In-depth preoperative medical assessment to make sure you are fully fit for your procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face to face checks
What is perineum and pelvic floor repair?Perineum and pelvic floor repair is a reconstructive gynaecology treatment to address both the aesthetic appearance of the perineal region in addition to restoration of the pelvic floor and the muscles which are responsible for stabilising the pelvic floor. The pelvic floor musculature may have been damaged as a result of a vaginal delivery.
What type of anaesthetic is used for pelvic floor repair?For very minor perineal repairs, it may be possible to undertake the procedure under local anaesthetic. Due to the potential scar tissue which can prevent the adequate spread of local anaesthetic, your surgeon may advise treatment under a general anaesthetic in virtually all cases of perineal and pelvic floor repair. Being under GA means you should not feel any pain or discomfort. Postoperative pain or discomfort is well controlled with over the counter pain killers which should not be required for more than 5-7 days.
What is the recovery period like?After the perineal or pelvic floor repair, it is common to feel a mild degree of discomfort but this usually settles down within a week. Swelling may take longer to resolve but should not interfere in your function. Patients may return to light work activities after one week but you are advised to avoid strenuous exercise, sexual intercourse or lifting heavy objects until full healing has taken place by about six weeks.
When can I return to normal activities after perineum and pelvic floor repair?It is normal to expect some bruising and swelling at the site of the procedure and there may be some mild discomfort which settles down within a week of surgery. It is sensible to keep mobile and walking around the house is easily done within a couple of days. It will take up to 3 months for the final results to become evident. You should avoid sexual intercourse and strenuous exercise for the first 6 weeks after surgery.
What are the risks and potential complications of pelvic floor repair surgery?As with any surgical procedure, there are certain risks and these include the risk of having a TIVA general anaesthetic if you decide to have your procedure under GA. Bleeding and surgical site infection are well known risks of surgery but are fortunately rare. At consultation, your surgeon will explain the risks specific to pelvic floor repair surgery.