Small Perineoplasty
2023 Fellows Subscription
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24m
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.
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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, ...
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Perineoplasty and Dehiscence Repair
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.