Thank you for sharing your experience in dealing with these complex patient cases. The point regarding potential for vaginal dehiscence is important to consider. In our experience, which is now more extensive than the originally published data. we have had no cases of postoperative vaginal dehiscence. There was 1 case in which, during sharp dissection, the peritoneal cavity was entered inadvertently. In this case, we were able to repair the defect in 2 layers. We then pursued the same protocol of intravaginal steroids and dilations. The patient healed without complication. However, there certainly are cases in which one should be more wary, such as when tissue quality is poor or extensive sharp dissection is used. Many protocols can be considered, all with core goals of maintaining patency after surgical opening of the vagina. It is always nice to hear other protocols that have worked well.