Laparoscopic vaginal bead pull-through vaginoplasty technique using dental prosthesis material

©Copyright 2020 by Turkish Society of Obstetrics and Gynecology | Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House..

OBJECTIVE: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all are surgically challenging, multistage, time-consuming or leave permanent scars on the abdomen or skin removal areas. The aim of this study was to introduce a simple and cheaper approach for laparoscopic vaginal bead-pull through.

MATERIALS AND METHODS: In this retrospective study, we report a total of six patients with congenital absence of vagina [Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome] who were treated with a laparoscopic vaginal bead pull-through technique between 2018 till 2019 with a dental prosthesis material.

RESULTS: Six patients with MRKH syndrome were treated with a laparoscopic vaginal bead pull-through technique. None of the women had any previous treatment. The mean age at the time of surgery was 18.7±3.1 years and mean body mass index was 25 (range, 19-38) kg/m2. None of the patients had any additional malformations. In all patients, normal external genitalia and complete vaginal agenesis were observed during examination. The mean duration of surgery was 72 (range, 55-95) minutes. All patients were discharged on the 3rd postoperative day. No intraoperative complications were encountered. All patients had their urinary catheters removed within 12 hours after surgery. The mean vaginal length at discharge was 10 (range, 8-13) cm and all patients had adequate vaginal diameter, allowing introduction of three fingers easily. At the 12th postoperative month, the mean vaginal length was 9.2±1.6 cm. All patients had complete epithelization. All the women were sexually active one year after surgery.

CONCLUSION: The laparoscopic vaginal bead pull-through technique using dental prosthesis material can provide satisfactory results with shorter surgical time and lower cost.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Turkish journal of obstetrics and gynecology - 17(2020), 3 vom: 30. Sept., Seite 182-185

Sprache:

Englisch

Beteiligte Personen:

Kılıççı, Çetin [VerfasserIn]
Şanverdi, İlhan [VerfasserIn]
Darıcı, Ezgi [VerfasserIn]
Özkaya, Enis [VerfasserIn]

Links:

Volltext

Themen:

Absent vagina
Journal Article
Mayer-Rokitansky-Küster-Hauser
Primary amenorrhea
Vaginoplasty

Anmerkungen:

Date Revised 17.04.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.4274/tjod.galenos.2020.39112

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316418420