Opening the Anterior Vaginal Vault: A Novel Approach to Vaginoplasty with a Modified McIndoe Procedure Using an Artificial Dermis.
J Pediatr Adolesc Gynecol
; 28(5): e119-22, 2015 Oct.
Article
in En
| MEDLINE
| ID: mdl-25256872
ABSTRACT
BACKGROUND:
Although preparation of a potential vaginal space between the bladder and rectum is a pivotal step in various vaginal reconstructions for patients with vaginal agenesis, few papers have mentioned the importance of this procedure. CASE We report the successful creation of a neovagina in 3 Japanese patients with Mayer-Rokitansky-Küster-Hauser syndrome using a novel modified McIndoe procedure that involved separation between the bladder and the rudimentary uterus in a laparoscopically assisted manner. SUMMARY ANDCONCLUSION:
Opening "the anterior vaginal vault" between the bladder and uterus is a novel concept of vaginal reconstruction; this approach has not been described hitherto in the literature. Based on the outcome of our cases, we conclude that this procedure is advantageous in creating a large and soft neovagina.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Congenital Abnormalities
/
Vagina
/
Laparoscopy
/
Plastic Surgery Procedures
/
46, XX Disorders of Sex Development
/
Mullerian Ducts
Limits:
Adolescent
/
Adult
/
Female
/
Humans
Language:
En
Journal:
J Pediatr Adolesc Gynecol
Journal subject:
GINECOLOGIA
/
PEDIATRIA
Year:
2015
Document type:
Article