Service
Perineum and vaginal opening (introitus) correction
The perineum is the tissue between the vagina and the anus, which often stretches, tears or is cut (episiotomy) during childbirth. Perineoplasty restores the muscles and skin of the perineum; correction of the introitus narrows the vaginal opening. A perineal scar that causes problems is corrected separately.
What concerns does it address?
How is it done?
Through an incision in the perineum, the separated muscles are joined, excess skin and scar are removed and the perineum is stitched into a new shape. In correction of the introitus, the vaginal opening is narrowed. It is often done together with vaginoplasty.
In childbirth the vaginal opening tears or widens so much that it does not return to its earlier shape, and the incision in the perineum (episiotomy) does not always heal well. At the examination this is often seen only when the muscles around the vaginal opening relax. The consequences are less contact during intercourse, sometimes pain at the site of the scar, and, when the anus and the vaginal opening are too close together, more frequent mixed infections.
Perineal scar
A painful, hard or tight scar after an episiotomy is cut out and stitched again, as a stand-alone procedure.
When is the procedure not suitable?
A vaginal or urinary infection is treated before the procedure. The procedure is also not planned when the examination shows no change in the tissue — when the vaginal opening is normal and the problem comes from other causes; this is discussed openly at the examination. If, along with a widened vaginal opening, there are urinary problems or a feeling that the uterus is dropping, a gynaecologist assesses them before the procedure.
General reasons for postponing a procedure (pregnancy, breastfeeding, inflammation, a clotting disorder, smoking): When is a procedure postponed?
Anaesthesia
Before a procedure under general or regional anaesthesia, you are seen by the anaesthetist, who works full time at the clinic; the same doctor is also present during the procedure. The anaesthetic assessment and the anaesthesia for larger operations are included in the price of the procedure. What happens before, during and after anaesthesia is described on the Anaesthesia page.
Risks
Occasional — separation of the wound edge, pain when sitting in the first weeks, change in sensation, pain during intercourse that lasts longer (treated with gradual stretching of the vaginal opening and exercises), the need for an additional correction of the narrowing.
Rare — injury to the nerves of the clitoris, weakened function of the anal muscles, a connection between the back wall of the vagina and the rectum (fistula) that needs surgical repair, keloid scar.
Expected, and rare but serious → Risks and complications: what is the course of healing, and what is a complication?
Price
| Service | Price |
|---|---|
| Perineoplasty (reconstruction of the perineum) | €1,200–1,500 |
| Correction of the introitus (vaginal opening) | €800–1,200 |
| Correction of a perineal scar | €400–800 |
Specialist and team
Specialty: plastic, reconstructive and aesthetic surgery.
When the procedure is done under sedation or general anaesthesia, the anaesthesia is led by a specialist in anaesthesiology, resuscitation and intensive care who works full time at the clinic.
In the operating theatre, the surgeon is assisted by head nurse Martina Šereg, with the help of nurses Kristina Jurešić and Mateja Tomorad, and in recovery the care assistant Mirjana Kovačić is with you. Martina also looks after preparation, scheduling and contact after the procedure.
Who will operate is decided at the examination, based on the findings and the type of procedure. You know the name of the surgeon before the procedure and meet them at the examination.
What happens at the examination?
The first examination lasts 30 to 45 minutes on average. The surgeon examines the area you are concerned about, asks about illnesses, medicines, allergies and previous operations, and talks with you about what you expect. If the procedure is appropriate and likely to help, you receive a plan: which procedure is proposed, under which anaesthesia, what recovery looks like and what is included in the price. If the procedure is not needed or would not give you what you expect, you will hear that at the examination too.
What if the result is not as agreed?
The result of a procedure is assessed at a follow-up visit, once the swelling has gone down and the scar has matured, not in the first weeks. If it differs from what was agreed at the examination, the same surgeon carries out the correction.
→ Poliklinika Barbel's correction policy
In the same visit
- Vaginoplasty — both are the result of the same event, so they are done in the same procedure.
- Labiaplasty (labia reduction) — labiaplasty is often done together with perineum correction, in the same procedure.
Frequently asked questions
When can it be done after childbirth? When the tissue has healed and the condition has settled — most often a few months after childbirth. This is agreed at the examination.
Does it make sense to have the procedure if I plan more children? A new vaginal birth can undo the effect of the procedure, so it is most often planned after the last planned birth. If that is not possible, this is discussed at the examination.
What exactly does the procedure change? It removes the scar, rejoins the separated muscles below the vaginal opening, narrows the vaginal opening and lengthens the perineum, so that the anus and the vaginal opening are again set apart.
Does the procedure change sensation during intercourse? The vaginal opening contributes to sensation in both a woman and a man, so a widened opening reduces contact. The aim of the procedure is to restore it. How you will feel it also depends on other factors, so the outcome is not promised.
Does sitting hurt after the procedure? In the first days, yes; a cushion helps. After using the toilet, the area is washed under running water — first the anal area, then the genitals, so that bacteria are not carried to the wound.
How much does the result depend on care after the procedure? The larger the procedure, the more it depends on it, but it always does. Healing takes weeks and months and happens almost entirely at home, so the instructions you receive when you go home, about the wound, physical activity and the scar, are part of the procedure, not a recommendation.
Medical review: doctors of Poliklinika Barbel · October 2026.