Vulvoperineoplasty

(A) Mucocutaneous incision, (B) Dissection of the posterior vaginal wall, (C) Excision of a triangular patch of perineal skin, (D and E) radial incision of the fibrous perineal body to reduce its height, (F) Individualization of a vaginal flap, (G) The vaginal flap is drawn down, making a cover for the perineal defect, and sutured.