Undergoing perineorrhaphy and/or posterior colporrhaphy (rectocele repair/posterior repair) as part of their planned vaginal pelvic reconstructive surgery
Physically able to apply medicated witch-hazel pads (MAJOR® Medi-Pads) and administer topical benzocaine spray (Dermoplast®) to the perineal area
Able to understand and willing to provide informed consent
You may not be if
Known allergy or hypersensitivity to any of the study products or components, including witch hazel, benzocaine, aloe, or other product ingredients
Minors
Presence of an indwelling catheter expected to remain in place for ≥7 days postoperatively
History of chronic pelvic pain syndromes that may confound postoperative pain assessment, including interstitial cystitis/bladder pain syndrome (IC/BPS), endometriosis, pudendal neuralgia, or vulvodynia
Chronic use (\> 3 weeks of continuous use) of opioid pain medication
Presence of vulvar dermatoses such as lichen sclerosus, lichen planus, or lichen simplex chronicus
Currently pregnant or breastfeeding
Anticipated inability to complete postoperative follow-up, including physical or cognitive limitations that would impede self-care or completion of study diaries
Inability or unwillingness to provide informed consent or comply with study procedures
Clareo Health | Improving Postoperative Recovery: A Study of Multimodal Perineal Analgesia Protocol (MPAP) After Vaginal Surgery
