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A combination procedure with either suprapubic dermatolipectomy, tacking of the penopubic subdermis to the rectus fascia, penoscrotal Z plasty, circumcision revision or lateral penile shaft Z ...

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Figure 3. Anterior colporrhaphy (with sutures in pubocervical fascia) combined with pubovaginal sling procedure. Lateral defects require a different approach in which the vaginal attachments to ...