The perineal body is a very important junction of the pelvic floor muscles that lies between the vagina and rectum. During pregnancy and birth, the perineal body experiences the greatest amount of injury and is often the site of lacerations. An episiotomy is an incision through the perineal body to allow the baby to pass. By definition, this creates a bigger opening to the vagina, which rarely regains its normal caliber after healing and is one of the most important causes for loss of sensation and laxity.  Restoration of the perineum and normalization of vaginal support and caliber is best performed by a fellowship trained Urogynecologist with specialized training in sexual function and intimate reconstructive surgery, not just a plastic surgeon or a gynecologist.


Dr. Castillo is dual board certified in Obstetrics and Gynecology as well as Female Pelvic Medicine and Reconstructive Pelvic Surgery and has extensive experience in vaginal surgery. He received additional specialized training in Intimate Aesthetic Surgery, which is an important distinction from general gynecologists and plastic surgeons. A thorough urogynecologic exam will ensure that any underlying problems are addressed. This comprehensive approach will allow for any repairs to be properly diagnosed and performed along with an aesthetically pleasing vaginal rejuvenation.


If a medical diagnosis is present as in the case of pelvic organ prolapse or urinary incontinence, we will work with your insurance company which may cover some portion of your surgery or hospitalization, if necessary.


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