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REVISION OF EPISIOTOMY

SEXUAL WELLNESS

REVISION OF EPISIOTOMY
IN NEW YORK CITY

An episiotomy is sometimes needed during a vaginal delivery to increase the vaginal opening and allow the baby's head to pass more easily. While this procedure can be necessary in certain cases, recovery from an episiotomy can be uncomfortable. In some instances, it may lead to lasting discomfort, especially during intercourse, or result in pelvic pain or scarring. If you've experienced complications from an episiotomy that healed poorly, episiotomy revision surgery can help restore your postpartum comfort and improve your quality of life.

Dr. Rita Shats, our expert cosmetic gynecologist, has extensive experience in helping women who have had difficult recoveries after vaginal delivery. Episiotomy revision surgery is a highly effective solution for scar tissue and complications that remain long after the original procedure. New Look New Life offers comprehensive care for women in New York City and the surrounding areas, including Manhattan and Westchester. Call us today at 212-830-6830 to schedule your consultation.

Episiotomy Frequently Asked Questions

What Is an Episiotomy?

An episiotomy is an incision made in the perineum (the area between the vagina and rectum) to facilitate childbirth. Historically, episiotomies were common in obstetrics, as it was believed that a surgical incision would heal better than a natural tear.

 

However, recent findings from the American College of Obstetricians and Gynecologists (ACOG) suggest that episiotomies should only be performed when absolutely necessary.

 

While routine episiotomies have become less common, they can still cause complications, such as:

  • Fistula (a hole between the vagina and rectum)

  • Formation of granulation tissue

  • Pelvic floor dysfunction

  • Knots or other abnormalities in the tissue

 

These complications can severely affect your maternal health and persist without proper treatment. Episiotomy revision can help resolve these issues and restore wellness and comfort.

Who Is a Good Candidate for Episiotomy Revision?

If you've had an episiotomy that didn't heal well or is causing lasting pelvic pain, you may be a candidate for episiotomy revision surgery. Ideal candidates for episiotomy revision include women who:

  • Are in good general health

  • Understand the risks of the procedure

  • Are able to take time off for recovery

  • Want to restore the ability to engage in intercourse without discomfort

  • Have experienced pelvic floor pain or discomfort that has not improved, even after a significant amount of time since the original procedure

 

It’s never too late to undergo an episiotomy!

How Is Episiotomy Revision Performed?

Episiotomy revision typically involves the following steps:

  1. Anesthesia: General or local anesthesia will be administered for your comfort.

  2. Incision and Tissue Removal: The scar tissue from the original episiotomy will be removed, and the area will be re-sutured to allow for optimal healing.

  3. Restoration of Function: The revision will focus on restoring the normal vaginal opening and pelvic floor functionality, helping to alleviate pain and discomfort.

What Is the Recovery Process for Episiotomy Revision?

Recovery after episiotomy revision is similar to the original procedure but may be shorter depending on the extent of the surgery.

 

During recovery, you'll need to follow specific post-operative care instructions, including:

  • Wearing a compression garment (if recommended) to reduce swelling

  • Avoiding strenuous activities for several weeks

  • Follow-up appointments to monitor healing progress

You will likely experience some soreness and tenderness, but this can usually be managed with prescription medications or over-the-counter pain relief.

When Will I See Results After Episiotomy Revision?

 

The results from episiotomy revision are typically noticeable within a few weeks as swelling and tenderness decrease. Final results can be expected within a few months, with most women reporting significant improvement in pelvic pain and sexual health.

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