This topic is about dealing with a perineal wound that hasn't healed properly after surgery. The person is looking for advice on what to expect in terms of pain, healing time, and ways to help the wound close successfully. Here are some insights and advice shared by others who have faced similar situations:

1. Pain Level: The discomfort after a revision surgery is generally milder compared to the original surgery. However, if healing is poor or an infection is present, it might cause additional discomfort.

2. Healing Time: Healing can vary greatly. Some people have reported needing up to 2 months off work, followed by a month of working half-days. Full recovery, especially for those with physically demanding jobs, might take around 6 months.

3. Health Measures to Improve Healing:
- Consider Hyperbaric Oxygen Therapy (HBOT): This therapy has helped some individuals with similar wounds, especially those related to radiation. It involves daily sessions over several weeks and can significantly speed up healing.
- Rule Out and Treat Infections: If an infection is suspected, it’s crucial to have the wound cleaned and possibly reopened by a healthcare professional. Antibiotics and frequent dressing changes can aid in healing.

4. Personal Experiences and Expectations:
- Keep dressings clean and change them regularly to prevent infection.
- Attend all follow-up appointments with your healthcare provider. If healing is not progressing, additional treatments like debridement or HBOT might be necessary.

5. Additional Considerations:
- Discuss any ongoing healing struggles with your doctor to explore further options.
- Be prepared for a potentially extended recovery period, especially if your job involves physical labor.