What is pelvic floor repair?

Traumatic childbirths with resultant tearing of the vaginal and labial tissues can be a significant source of distress and loss of function. Common endpoints 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 is an expert in the use of laser vaginal tightening for mild to moderate cases of pelvic organ prolapse.

RELATED: What is perineoplasty?

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 experts in the repair and restoration of the vagina and pelvic floor. This can lead to a significant improvement in self-confidence and self-esteem. Surgical treatment such as vaginoplasty can be both aesthetic and reconstructive in nature depending on the underlying problem whether the 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.

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whatclinic award

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 investing significant time in Q&A and other doctor activities. RealSelf top doctors are rated among the very best surgeons in the United Kingdom and the 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 regarded 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.

Labiaplasty Surgeon London

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 the 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

FAQs

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 the 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 pelvic floor repair?

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 with 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 the consultation, your surgeon will explain the risks specific to pelvic floor repair surgery.
How much does pelvic floor repair cost?

Prices start at £5000 and the final price will be confirmed after your face-to-face consultation with our cosmetic gynaecologist.

Julie Dyson

11:05 23 Jun 22

Everyone at the Centre for Surgery has exceeded my expectations by miles! From the moment I made contact and enquired about the procedures offered, all the way through to my post-operative aftercare, I have been blown away by the levels of customer service and empathy shown to me on my journey.At 62 years of age, some might question whether I was a bit old for a “mummy makeover” wanting both a bi-lateral breast reduction and an abdominoplasty. However, I was treated so kindly and with such respect that these thoughts were soon left behind. Lidia the Patient Coordinator allocated to me was great – she sent me loads of information to read and arranged a consultation with Mr Ertan Erel, the surgeon.When I met Mr Erel, he immediately made me feel at ease. We discussed performing the procedures in a staged format, to allow my body to recover in between surgeries. He also encouraged me to lose a few kilos before my surgery saying it would be of benefit health-wise and give better results. He walked me through both of the procedures, what to expect and likely outcomes. We agreed that I would have the breast reduction first, followed by the tummy-tuck 4 to 6 months after that. I was offered a follow-up consultation, but didn’t need one, I was so happy with the first.Lidia then helped me choose a date for the first op based on my personal commitment to lose the weight. The encouragement helped tremendously and in January 2022, I had my first surgery. On the day, the whole team were amazing, from the receptionist who greeted me, the entire theatre team – Mr Erel, the anaesthetist and all the theatre nurses couldn’t have looked after me any better. What was truly wonderful for me – I was able to go home the same day once Mr Erel and the nurses were happy for me to leave, no stay in hospital where you can’t sleep etc. – absolute bliss.The support team telephoned me the next day to ensure all was well and organised an appointment to see a perioperative nurse to check my wounds and re-dress. How lucky am I – Sophie Ship is just the best! Knowing that support team was always available together with regular check-ups in Sophie's very capable hands I was very soon on the mend.AT 6 weeks post-op, I had a review with both Mr Erel and Sophie. We were all delighted with the results and my recovery, it was agreed that the second operation could take place in May/June.Lidia, then sent me loads more information about the procedure, answering all my questions swiftly and booked the date. To ensure I was fit for surgery, Mr Erel saw me again two weeks before my surgery. All was agreed and the abdominoplasty performed on 25th May. Once again, everything went like clockwork and every member of the team were outstanding.I’m now 4 weeks post-op 2 and already delighted with the results. Mr Erel is a genius! I feel so privileged to have had both my surgeries performed by him. The swelling is already going down and I can’t wait to see how I look in a couple of months.I have given Centre for Surgery and Mr Erel permission to show my photographs to anyone considering the procedure(s) and am more than happy to provide more details/chat to anyone about any concerns they have. Please just ask Centre for Surgery/Mr Erel to arrange.

Rita W. Eversole

10:18 28 May 22

Highly recommend this clinic for anyone wanting a friendly, welcoming, professional and non judgmental approach to all your surgical and non surgical needs. I wouldn’t consider going anywhere else.

Jemes Rodreges

05:59 28 May 22

Staff are very helpful and friendly, nothing has ever been to much trouble. Definitely put me at ease before I had my surgery and gave great aftercare after my surgery

Colly Hazel

20:08 02 May 22

I made an enquiry with the Centre for Surgery after reading everyone's reviews on Google - and I am elated that I chose CfS.The website was easy to navigate and provided me with sufficient information and understanding of the consultation I wanted to have. Booking the appointment and paying the small consultation deposit was incredibly simple. The availability of appointments on offer was really good too.I received quick confirmation of my booking, and also an email reminder of my appointment one day prior which was really nice.The clinic, both interior and exterior, was well kept and clean.The consultant was Dr Alok Misra. I was really nervous but his bubbly and kind character quickly put me at ease. First he clarified the purpose of my visit (which shows that Dr Misra and the team are observant) and discussed my concerns. Dr Misra was honest and open. He carefully listened to everything I had to say, repeated what we discussed to ensure there was no misunderstanding (I really appreciated this), and then gave advice and guidance which neither me nor self Google-searches, would have ever considered.At the end of the consultation, his team brought me to a private office to discuss what was said and to ask how I'd like to proceed. I think this is an example of exemplar customer service.

Miles Ajao

06:38 28 Apr 22

My experience with Centre for Surgery, has been a positive experience with each visit I have attended. The staff are very welcoming, kind and knowledgeable. I underwent my treatment with the feeling I was looked after by professionals. Also the aftercare service they provide is excellent, I felt like they genuinely cared for my progress and how I was recovering.