Treatment Overview
Posterior Colporrhaphy and Perineorrhaphy Surgery are advanced pelvic floor reconstructive procedures designed to correct posterior vaginal wall defects such as rectocele (rectal prolapse into the vagina) and to rebuild the perineum — the area between the vagina and anus that provides critical support for pelvic organs. This dual procedure strengthens the rectovaginal fascia and reconstructs the perineal body, restoring both functional support and vaginal aesthetics.
In Korea, this surgery is performed under Women’s Health / OBGYN – Surgical Gynecology using refined minimally invasive, mesh-free, and cosmetic-functional approaches. Korean OBGYN surgeons are globally recognized for their expertise in precise microsuturing, 3D pelvic imaging, and laser-assisted tissue regeneration, combining medical precision with aesthetic outcomes for complete pelvic floor restoration.
Purpose & Benefits
- Corrects rectocele (posterior vaginal wall prolapse) and strengthens pelvic support.
- Reconstructs the perineal body to improve structural and sexual function.
- Restores vaginal tightness, tone, and aesthetics after childbirth or aging.
- Relieves symptoms such as vaginal bulging, pelvic heaviness, constipation, and discomfort during intercourse.
- Mesh-free – uses the patient’s natural fascia and tissue for safe, long-lasting results.
- Enhances sexual satisfaction, pelvic stability, and bowel control.
- Improves vaginal symmetry and appearance with minimal scarring.
- Offers quick recovery, minimal pain, and high long-term success rates.
Ideal Candidates
- Women diagnosed with rectocele (posterior vaginal wall prolapse) or perineal laxity.
- Patients with pelvic floor weakness after childbirth, aging, or prior surgeries.
- Women experiencing pelvic pressure, vaginal looseness, or sexual dissatisfaction.
- Those seeking aesthetic and functional pelvic reconstruction.
- Patients desiring mesh-free and uterus-preserving repair.
- Women who prefer natural-tissue reconstruction with short recovery time.
Possible Risks & Complications
Posterior Colporrhaphy and Perineorrhaphy Surgery are very safe when performed in Korea’s advanced gynecologic centers. Mild and temporary side effects may include:
- Mild vaginal soreness or swelling.
- Temporary constipation or discomfort during bowel movements.
- Light vaginal spotting or discharge.
- Rare infection or minor wound irritation (preventable with antibiotics).
- Minimal recurrence risk when postoperative care guidelines are followed.
Korean hospitals minimize risks by using AI-guided imaging, precision microsuturing, and laser-assisted healing, ensuring both safety and comfort during recovery.
Surgical Techniques Used
Korean OBGYN surgeons utilize microsurgical precision and aesthetic reconstructive techniques to strengthen the pelvic floor while improving vaginal function and appearance:
- Posterior Colporrhaphy (Rectocele Repair): Reinforces the rectovaginal fascia to correct rectocele and restore vaginal wall strength.
- Perineorrhaphy (Perineal Repair): Rebuilds and tightens the perineal body to enhance pelvic support and sexual comfort.
- Mesh-Free Native Tissue Reconstruction: Uses the patient’s own fascia for natural, biocompatible repair.
- Laser-Assisted Tissue Tightening: Stimulates collagen regeneration for improved elasticity and healing.
- Hybrid Laparoscopic-Vaginal Repair: Combines internal visualization with external repair for precise anatomical correction.
- AI-Guided Pelvic Mapping: Ensures perfect symmetry and accurate reconstruction of the vaginal canal and perineum.
- Aesthetic Rejuvenation Integration: Enhances appearance while maintaining natural function and comfort.
Korean hospitals employ 4K/3D visualization, fine microsuturing tools, and regenerative technologies to achieve durable, safe, and aesthetically refined outcomes.
Recovery & Aftercare
- Hospital stay: Usually 1 day; same-day discharge possible for minor cases.
- Recovery time: Resume light activity in 1–2 weeks, full recovery in 4–6 weeks.
- Mild soreness, swelling, or light spotting may occur temporarily.
- Avoid sexual intercourse, tampon use, and heavy lifting for 4–6 weeks.
- A high-fiber diet is recommended to prevent constipation during recovery.
- Follow-up visits: Typically at 2 and 6 weeks post-surgery.
- Pelvic floor physiotherapy (Kegel exercises) advised to maintain strength and long-term results.
Results & Longevity
- Immediate tightening of the vaginal wall and perineal region.
- Correction of rectocele and improved pelvic alignment.
- Enhanced sexual comfort, confidence, and bowel control.
- Small, hidden incisions with minimal scarring.
- High success rate of over 95% in Korean hospitals.
- Long-term results lasting 10 years or more with proper care.
Treatment Process in Korea
South Korea is an international leader in pelvic floor and aesthetic gynecologic surgery, combining innovation, surgical artistry, and precision-based medicine.
Most advanced and popular surgical techniques performed in Korea:
- Posterior colporrhaphy and perineorrhaphy (mesh-free).
- Hybrid laparoscopic-vaginal posterior reconstruction.
- Laser-assisted collagen tightening for vaginal rejuvenation.
- Uterus-preserving and fertility-safe pelvic reconstruction.
- AI-guided pelvic floor mapping for precision repair.
Unique Korean methods or technology:
- Pain-free anesthesia and enhanced recovery systems.
- Integration of aesthetic and reconstructive goals.
- Collagen regenerative therapy for long-term tissue resilience.
- AI-powered imaging for individualized surgical planning.
- Postoperative physiotherapy and digital follow-up programs.
Why Korea is a top destination for this surgery:
- Globally certified and fellowship-trained pelvic reconstructive surgeons.
- Hospitals equipped with Da Vinci robotic systems and 4K/3D imaging platforms.
- Emphasis on mesh-free, natural, and aesthetic pelvic reconstruction.
- Transparent, affordable medical pricing compared to Western countries.
- Comprehensive medical tourism infrastructure with multilingual support and recovery care.
Cost Range
The cost of Posterior Colporrhaphy and Perineorrhaphy Surgery in Korea varies depending on hospital type, surgical complexity, and technique used:
- Typical Range: USD 3,500 – 7,000
- Standard Posterior Colporrhaphy: USD 3,500 – 5,000
- Posterior + Perineorrhaphy Combination: USD 4,000 – 7,000
- Laser-Assisted or Hybrid Vaginal Repair: USD 4,500 – 8,000
- Comprehensive Surgical Package (Anesthesia, Hospital Stay, Follow-Up): USD 4,000 – 7,500
Korean hospitals provide all-inclusive and transparent pricing, covering consultation, imaging, anesthesia, surgery, hospitalization, and follow-up visits. Medical tourism packages are available for international patients, including interpreters, transportation, and recovery support.
Popular Clinics with Advanced Posterior Colporrhaphy and Perineorrhaphy Surgery in Korea
- Seoul Miz Hospital – Expert in aesthetic-functional vaginal and pelvic reconstruction.
- MizMedi Hospital (Seoul) – Specialized in hybrid vaginal reconstruction and minimally invasive repairs.
- Yoonho OB/GYN Hospital (Gangnam) – Renowned for aesthetic perineal and pelvic floor surgery.
- Gangnam Women’s Hospital – Focuses on mesh-free posterior wall and perineal repair with rapid recovery.
- Asan Medical Center (Seoul) – Korea’s top tertiary hospital for advanced pelvic reconstructive surgery.
- Samsung Medical Center (Seoul) – Global innovator in minimally invasive and aesthetic pelvic procedures.
- Kyung Hee University Hospital at Gangdong – Academic leader in posterior vaginal and perineal reconstructive techniques.



