This essential Core video is for patients to view before and after surgeries involving the posterior compartment and perineum. It is intended to show the patient how to soften and provide skin flexibility to reduce and eliminate post op pain from scars or from menopausal changes such as GSMspecif...

This segment of an extended video concentrates only on the perineoplasty and removal of an external anal skin tag as part of a full labial reduction surgery. It is a Core video. The anal skin tag is excised and sutured and not vaporized. The commentary is live and in real time during a trainin...

An inexpensive way to set up to do vaginoplasty surgery in the office is demonstrated. Basic equipment, sterile towels, radiosurgical tools, Lone Star Retractor are displayed. Proper table height, patient leg support, surgeon elbow support is stressed for an ergonomic surgery. This is a Core v...

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.

Detailed video on Perineoplasty performed before a complex labial surgery. Anesthesia, markings, excision, and layered sutureing are shown. This is the key step to start a complex case. Almost always perform the perineoplasty first with or without a vaginoplasty then proceed to the labial surg...

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, d...

Perineal breakdown is the most common location of a wound dehiscence after posterior repairs, vaginoplasties, and perineoplasties. This video shows the initial perineoplasty, the subsequent breakdown, and the repair.

Dr. Alinsod shows the principles and steps to Sutureless Band Release Surgery with RF from start to finish. RF energy is used to incise over the perineal and vaginal scars that are palpable and causing pain. This can be used to eliminate dyspareunia from a posterior repair or vaginoplasty or pe...

Posterior Repairs, Vaginoplasties, and Perineoplasties may result in too tight an introitus that can lead to painful intercourse. A new partner that is very broad can result in painful sex also. This patient requested a band release right at the opening of her vagina and we were able to use rad...