Insanity knows the female anatomy! Very correct that those are two separate systems, although it's true they're rather close together.

Vaginal rejuvenation is a trend in plastic surgery these days. Plastic or reconstructive surgeons essentially "pretty up" the vaginal area cosmetically. They make uneven labia more symmetrical, do a little tightening of the outer tissues, use injectable solutions to plump up certain areas, and just basically make the whole area look better. Sometimes after pregnancies and childbirth, or just after life or, say, a lot of weight gain and loss, the labia or the outer area of the vagina can get loose, the labia can start to look uneven, or the area can get torn. Anyway, rejuvenation surgery pretties that area up.

Ladies who have trouble with leaking urine when they cough or laugh usually have lost tone in the ligaments and muscles that support their bladder and in the urethra. The PC (pubococcygeal) muscle is one of those supporting pelvic floor muscles, but sphincter and bladder muscles are also involved. After the weight and pressure of pregnancy and hard pushing during childbirth, those muscles lose their tone and don't tighten the way they're supposed to, and the problem of leaking urine results. Exercising the PC and pelvic floor muscles can help prevent or improve the problem, but often the best fix for this problem is surgery, usually laparascopic surgery, to tighten up those bladder-supporting ligaments and muscles. This surgery is internal, as opposed to vaginal rejuvenation surgery, which is external. A urological or general surgeon generally does bladder-related procedures.

Like Insanity said, the bladder/urethra and vagina are two separate areas that live in the same "neighborhood," but the problems that can cause the need for either type of surgery are often the same: childbirth. A couple of episodes of "Dr. 90210" have covered vaginal rejuvenation surgeries this year, and I learned about the bladder-leakage issues from my mother-in-law and her sisters, who've all had surgery to fix that problem.