Repair of Perineal Tear Treatment in India
About Repair of Perineal Tear
Key Highlights
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Restores the anatomical structure and integrity of the perineum after childbirth.Promotes proper healing to minimize the risk of infection and chronic pain.Helps preserve long-term pelvic floor function and support.Can significantly reduce the risk of future complications like fecal or urinary incontinence.Performed promptly after delivery, often with effective local anesthesia for comfort.
Who is this surgery for?
- Second, third, or fourth-degree perineal tears sustained during vaginal delivery.
- Extension of an episiotomy that has torn further into deeper tissues.
- Obstetric anal sphincter injuries (OASIS) involving the anal sphincter muscles.
- Repair of old, poorly healed perineal tears causing symptoms like pain or incontinence (secondary repair).
How to prepare
- Informed consent is obtained, explaining the procedure and its necessity.
- The area is cleaned with an antiseptic solution to reduce infection risk.
- Administration of local, regional (spinal/epidural), or sometimes general anesthesia.
- Positioning of the patient, typically in lithotomy position (on back with legs supported).
- Assessment of the full extent of the tear to plan the layered repair.
Risks & possible complications
- Infection at the surgical site.
- Bleeding or formation of a hematoma (collection of blood).
- Pain, swelling, or bruising in the perineal area.
- Breakdown of the wound or poor healing, potentially requiring further treatment.
- Pain during sexual intercourse (dyspareunia) after healing.
- Formation of scar tissue.
- Rarely, injury to nearby structures or fistula formation.
- Failure to fully restore continence, especially with severe initial tears.
Recovery & hospital stay
- Hospital stay is typically short, often just 1-2 days post-delivery for monitoring.
- Pain management with prescribed medications and ice packs applied to the area.
- Strict perineal hygiene: gentle cleaning with water after using the toilet and patting dry.
- Sitz baths (sitting in warm shallow water) 2-3 times a day to soothe and clean.
- Avoiding constipation with a high-fiber diet, fluids, and stool softeners as advised.
- Avoiding heavy lifting, strenuous activity, and sexual intercourse for 4-6 weeks.
- Follow-up appointment to check healing progress, usually within 2-6 weeks.
- Pelvic floor exercises (Kegels) may be recommended once healing is underway to strengthen muscles.
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Typical hospital stay:
1-2 days
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Expected recovery time:
4-6 weeks for primary healing; full recovery and return to all activities may take 2-3 months.
Frequently Asked Questions
If you are considering repair of perineal tear in India, these questions and answers can help you make a confident, informed decision.
Popular choices for repair of perineal tear in India include Manipal Hospital Mukundapur, Manipal Hospital Dwarka, SIMS Hospital Vadapalani, Manipal Hospital Old Airport Road, Kamineni Hospital, King Koti, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform repair of perineal tear. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for repair of perineal tear compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 165 – USD 551 | 1-2 days | ~ 4-6 weeks for primary healing; full recovery and return to all activities may take 2-3 months. | Know More |
| Turkey | USD 1,229 – USD 4,098 | 1-2 days | ~ 4-6 weeks for primary healing; full recovery and return to all activities may take 2-3 months. | Know More |
Top hospitals for Repair of Perineal Tear in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing repair of perineal tear.
Hyderabad, India
20 Doctors
Sarah Gupta, a 32-year-old first-time mother...
Sarah Gupta, a 32-year-old first-time mother and software engineer, had a long, difficult labour culminating in a forceps-assisted vaginal delivery. In the immediate postpartum period, she experienced significant pain, a feeling of 'heaviness' in her pelvis, and an inability to control gas. Her midwife identified a 3C obstetric anal sphincter injury (OASI) during a routine check. Her obstetrician, Dr. Evans, explained that while the tear was severe, it was repairable with surgery to restore the structure and function of the anal sphincter and perineum, crucial for her long-term pelvic health. Sarah felt scared and violated by her birth experience, worrying she was 'broken.' The surgery under spinal anaesthesia was physically straightforward, but emotionally she felt vulnerable. Her recovery required strict bowel management with laxatives, pelvic floor physiotherapy, and months of gradual healing. A year later, her continence is fully restored, and she has regained strength through physio. Emotionally, she moved from trauma and fear to a sense of resilience. While the birth memory is complex, she feels surgically repaired and empowered by her recovery journey, focusing now on bonding with her healthy daughter.
Obstetrics and Gynaecologists for Repair of Perineal Tear
Explore experienced obstetrics and gynaecologists who regularly perform repair of perineal tear and provide pre- and post-operative care in India.
- 20 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Doddaballapur, Bangalore
- 25 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Salt Lake, Kolkata
- 27 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 43 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Malleshwaram, Bangalore