53year old woman treated with Vaginoplasty and perineoplasty

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She got tired of feeling loose and "hanging open. After 2 monthe pre-op vaginal estrogenization, PP and VP performed. At the 1 month post-op visit, the use of an APEX device to strengthen muscles taught. She will use this for 6 months, then progress to vaginal speres called "Luna Beads" 6 months post-op

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