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History: A lady in her late 30s complained of a loose feeling vaginal vault and lack of sensation during intercourse. She also suffered from a large rectocele that bulged out of her vagina that gave a chronic feeling of constipation. She leaked urine with coughing and sport activities and wanted to have a sling placed to resolve this problem. She wanted a more youthful appearance to her vulva and requested a labiaplasty with a clitoral hood reduction as part of her repair.

Surgery: Vaginoplasty and perineoplasty, transobturator sling, rectocele repair, vaginal vault suspension, vaginoplasty, labia minora plasty, labia majors plasty, clitoral hood reduction.

Results: Return to full function. Dry with no leakage, more satisfying sex life.