Case # 23531

36 yo mother of five from Denver, Colorado found Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon, Dr. Oscar Aguirre on a referral from the PA at a local OBGYN office for a greater than 10 year history of vaginal prolapse. Since her first two deliveries, she has noticed stress-associated incontinence with activities which has progressed to its current severe state. She now loses urine even with sex. She also reports obstructive defecation symptoms with pelvic pressure and heaviness. Upon examination Dr. Aguirre diagnosed urodynamic stress incontinence with urethral hypermobility in the presence of stage II complex pelvic organ prolapse as well as distally there are torn pelvic floor muscles. After all surgical and non-surgical options were discussed she decided to move forward with definitive surgical therapy. Dr. Aguirre performed, in an out-patient hospital setting, Total Vaginal Hysterectomy with Bilateral Salpingectomy, Uterosacral Ligament Vault Suspension, Anterior and Posterior Vaginal Repair, Suburethral I-Stop Sling, Skin Tag Excision and Vaginoplasty. She returned postoperative with excellent functional and aesthetic results.