Effectiveness of platelet-rich plasma treatment in perineal trauma: a case report

Abstract

Background: Approximately 85% of women will experience perineal trauma during vaginal birth. Pain is one of the most important long-term complications of perineal trauma. The quality of life is negatively affected, the pain experienced is a cause of negative prejudice against future vaginal birth. Platelet rich plasma treatment is a new approach to treating the pain and healing perineal trauma. Case presentation: A 31-year-old female patient presented to the Gynaecology department with pain during urination, defecation, in coitus, during menstruation, while walking and while sitting. The pain continued to increase 10 years after the first birth and analgesic medications were ineffective. After gynacological examination, a diagnosis was made of perineal trauma (second degree) due to deep episiotomy in the first vaginal birth. The patient received three platelet rich plasma treatments at three-week intervals. Repeated assessments showed noticeable reduction in pain and improvements in scar healing. Conclusions: Perineal trauma was treated with platelet rich plasma containing high platelet concentrations and various growth factors. The patient’s intense pain complaints ended.

Keywords

• episiotomy
• pain
• perineal trauma
• platelet rich plasma