Sometimes during a difficult birth, damage can be caused to the area between the vagina and the rectum. When a bad tear has occurred or there has been poor stitching, the area can look disfigured when healed. This can affect confidence and cause discomfort during intercourse.

In some cases it can lead to weakness in the pelvic floor and lax muscles, presenting problems in urinary function and, in worst cases, can even cause incontinence.

The good news is that surgery can make a massive difference to the way you look and feel, restoring both the cosmetic appearance of the perineum as well as the muscle tone deep in the pelvic floor and vaginal muscles. Surgery to improve the way this area looks and functions can be highly rewarding, allowing you to feel that things are back to normal shortly afterwards.

Whatever your requirements, the Cadogan Clinic can provide the leading experts and techniques for your treatment in its state-of-the-art, purpose-built central London facility.

Frequently Asked Questions

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialized computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

During your consultation your surgeon will advise you to stop smoking, aspirin or other medication prior to surgery as this can slow down the healing process. He or she will discuss with you when it is suitable to resume these.

Following your surgery you may experience some mild discomfort and swelling but this will usually disappear completely one or two weeks. Many of our patients go back to work after one week but your surgeon will advise you to refrain from exercise, driving and sexual intercourse until full healing has taken place.

Most of our patients opt to undergo this procedure under general anaesthetic so you will feel no pain. After your surgery, any pain or discomfort you may experience will be controlled with medication provided by your doctor and this will usually subside within a few days.

Prices begin at £6000 depending on your initial consultation with your expert cosmetic gynaecological surgeon.

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What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.