Perineoplasty

Before – Gaping Introitus or Enlarged Vaginal Opening
(click to enlarge)

After – Repaired Perineal Muscle
(click to enlarge)

Perineoplasty is the surgical procedure that restores a torn perineal muscle, which can make the vaginal opening wider than normal, also known as Gaping Introitus, Epsiotomy Damage, Perineoplasty Damage.

Gaping introitus (enlarged vaginal opening) is usually the result of giving birth, however patients may have enlarged vaginal openings without ever giving birth.  Patients have a separation of the transverse perineal muscles, which causes the base of the vagina to widen.  These are the muscles that are often torn as an extension of an episotomy (a cut made in the perineum made by the obstetrician to widen the vagina to facilitate the delivery of a child) or are torn.  This enlarged vaginal opening can also occur do to a dehiscence or breakdown of a perineoplasty repair performed by a gynecologic surgeon.  This condition gives the patient an “open” feeling and also may cause some lack of friction during intercourse.