Correction of conditions and injuries after childbirth

Postpartum injuries include tissue damage from the pubic bone to the tailbone. They can be divided into injuries of the front part, which include damage to the labia, front vaginal wall, urethra and clitoris, and injuries to the back part: rear vaginal wall, muscles and tissue of the pelvic floor, muscle of the anal opening and injury to the end of the large intestine. Injuries can be superficial or deep.

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Treatment of conditions and injuries after childbirth

If a woman has functional, aesthetic and psychological consequences of tissue damage or physiological changes, it is possible to perform surgical correction. The surgical method is the only one that gives results and it is documented through clinical studies.

In recent years, "thermal treatment" with laser and radio waves has also been used. So far, there is not a single clinical study that has shown the success of such treatments. The American Food and Drug Administration, better known as the FDA, even issued a statement that laser treatment is not recommended due to the risk of permanent damage to the vagina.

Surgery

After the surgery

The surgery is performed as a same-day surgery and lasts about 60 minutes, depending on the type of operation. It is advised to stop smoking 3-4 weeks before surgery, as smoking slows the wound healing and increases the risk of infection.

Aspirin and preparations containing Omega 3 increase the risk of bleeding and should be stopped 7 days before the surgery.

Surgeries can be performed under local or under general anesthesia. Before the surgery, the patients fill out a detailed questionnaire about their health condition, they perform certain blood tests and have an consultation with the anesthesiologist. Before the operation under general anesthesia, you should not eat or drink anything for 6-8 hours. When surgeries are performed under local anesthesia, in addition to local anesthetics, painkillers are given before the surgery, as well as intravenously during the surgery. The sutures that were used "fall off" on their own, so there is no need to remove the sutures.

With most surgeries, you stay in the Clinic for 2-3 hours after the surgery, while with some, you stay for 6-8 hours. Very soon after the surgical intervention, the patients start to drink liquid and they receive a light meal. The patient is discharged only when she can go to the toilet on her own. Regardless of whether the surgery is performed under local or general anesthesia, driving a car is not allowed.
After the surgery, there will be swelling for a few days. Pain is mostly present in the first 2-3 days. Paracetamol, tablets 500 mg, 2 tablets up to 4 times a day should be taken against pain in combination with Diclofenac-Voltaren in the form of suppositories up to 3 times a day. Nausea sometimes occurs after anesthesia, in which case Clometol tablets are taken, 10 mg up to 3 times a day. The subjective impression of "tightness" in the wound area is common in the first days after surgery. The sutures that are used "fall out” by themselves, so it is not necessary to remove the sutures.
After a few days, the sutures start to "fall out” and patients often feel itchy. Antibiotics are generally not given after such surgeries, unless there is a risk factor.
The patient should not be alone in the apartment for the first 24 hours after the surgery.
Sitting in the bathtub is not allowed for 3-4 weeks after the surgery, nor is swimming in the pool, river or sea. You should wait for sexual intercourse 5-6 weeks after the surgery.
Showering is allowed on the same day, you just need to avoid the wetting of the operated region 2-3 days after the surgery. The wound is washed exclusively with saline solution. Light training can be started when the pain and tightness have completely stopped, which is usually 2-3 weeks after surgery. In case of constipation, Dulcolax tablets are advised.

Complications

Complications such as infection and bleeding are very rare after this type of surgery. In case of elevated body temperature, severe pain and swelling, with difficulty in urinating and defecation, you should contact the Clinic. When a urinary catheter is used, there is a slightly increased risk of urinary tract infection, which is treated with antibiotics. Smoking slows down the wound healing.

Causes of changes and injuries after childbirth

About 70-85% of women give birth naturally vaginally. Recovery after vaginal delivery is faster, and complications are less frequent compared to a cesarean delivery. On the other hand, after vaginal delivery, there are physiological changes in the vagina, muscles and connective tissue of the pelvic floor that can have functional and psychological consequences. In addition to physiological changes, tissue damage and injuries to the vagina and pelvic floor structures occur in 13-36% of women after vaginal delivery. Minor injuries refer to changes in the labia and the entrance to the vagina, the scar between the vagina and the anal opening, and the vagina itself. Greater damage can eventually lead to weakness and prolapse of the vaginal walls, urinary disorders, defecation and negative consequences on sexual life.

Sometimes physiological changes can lead to the feeling that something is wrong and affect the sexual life. Episiotomy is performed for some women in labor, that is, the birth canal is widened and then surgically closed. Sometimes the scar after episiotomy correction can result in pain and discomfort. The same applies to the correction of ruptures, that is, the tissue "rupture" during the childbirth itself.

All this has an impact on the quality of life. Tissue damage and often physiological changes lead to aesthetic changes.