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This video shows the repair of birth trauma stretching and tears with a perineoplasty that does not go deep into the vaginal canal like a rectocele repair. This is done mostly for improved appearance, lengthening the perineal body, and to get a modest increase in entry friction.
Perineoplasty, Hybrid Barbie Labiapla...
This case covers a span of several years and illustrates what can happen when there is estrogen loss+ and menopausal changes in the vulvovaginal areas. In summary, the patient underwent both labiaplasty and vaginoplasty and did very well until years later when GSM resulted in a tight introitis, ...