Perineorrhaphy can be done in two ways:
The first one is by using stitches to close the opening of the vagina and reconstruct the pelvic muscles.
The second one is by using a mesh material (mesh) to cover the opening of the vagina, which will then support and reconstruct the pelvic muscles.
The first option has been proven to be more effective than when using mesh because it offers better support for pelvic floor muscles and has fewer risks of complications such as vaginal prolapse or urinary incontinence. It is safe to have perineorrhaphy if you are healthy enough for surgery and if your doctor says it will help with your condition.