Dr. Michael Safir Southern California Center For Advanced Urology

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After the Procedure

Recovery time after perineoplasty is around four to six weeks, though you generally can return to office work after one week. Some swelling and discomfort is normal following the procedure, so be sure to take the pain medication Dr. Safir prescribes. It is important during the recovery period to avoid any strenuous physical activity, take antibiotics as prescribed, and keep the area clean and dry. During this time you should also try to have a sufficient amount of fiber in your daily diet. Remember to attend your follow-up appointment with Dr. Safir to ensure that the area is healing properly. You can usually resume sexual activity after about six weeks.

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Perineoplasty - About the Treatment

About the Perineoplasty Procedure

Perineoplasty is a surgery that is designed to either tighten or loosen the perineal muscles of the vagina. Perineoplasty is also sometimes called perineorraphy.

Tightening Perineoplasty

According to Los Angeles urologist Dr. Michael Safir, “The most common type of perineoplasty we perform is a tightening perineoplasty.” Many women who have had difficult vaginal deliveries suffer from torn or weakened perineal muscles. Women who have gained weight may also find that their perineum has stretched and the muscles have loosened. Some women may also elect to have perineoplasty because they find their muscles have become lax as they’ve gotten older. By undergoing a tightening perineoplasty procedure, these women are able to have their perineum tightened, restoring their natural anatomy.

Often, perineal damage is accompanied by some type of pelvic prolapse. Because Dr. Safir specializes in pelvic floor reconstruction, he can perform pelvic prolapse surgery to correct cystocele (bladder prolapse) or rectocele (rectal prolapse) at the same time as the perineoplasty procedure.

Many patients have perineoplasty as part of a total vaginal restoration. Total vaginal restoration comprises several different procedures designed to address both aesthetic and functional concerns. These procedures include labiaplasty, vaginoplasty, and perineoplasty.

Loosening Perineoplasty

Another type of perineoplasty is designed to loosen the perineal muscles of the vagina. Women who experience painful intercourse – a condition called dyspareunia - due to an overly tight vaginal entry find that this type of perineoplasty surgery allows them to enjoy intercourse, whereas before it had always been a painful ordeal.

The Perineoplasty Procedure

As there are multiple types of perineoplasty, the exact procedure will vary according to your needs.

Sedatives and pain relievers are administered to reduce anxiety

  • Drugs are administered to reduce anxiety and pain before the procedure begins.
  • Local anesthetic is injected into the area.
  • Dr. Safir then performs the perineoplasty by making an incision, and possibly removing and scar tissue from the perineal muscles in the posterior wall of the vagina.
  • After the procedure is completed, the area is carefully sutured to make sure it heals properly.
  • The entire procedure is usually completed in under an hour

If the perineoplasty is being performed as part of a total vaginal restoration, or in addition to other pelvic floor repairs, such as correction of pelvic prolapse, these will be performed concurrently, and the procedure will take longer.

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  • World renowned urological surgeon and author
  • 20+ years of education and surgical experience
  • Convenient locations in Beverly Hills & West Hills
  • Focus on patient education and 5-star service

Video Blog

Michael Safir, M.D. speaks candidly about various urological conditions and the advanced surgical procedures used in his practice.


“I highly regard Dr. Safir and his staff. Very professional and friendly and I am so satisfied with the results of my surgery. The problem has been resolved.”