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Vaginal aplasia and reconstruction.

Abstract

Congenital vaginal agenesis, with a prevalence of 1 in 4000 females, occurs mainly as a feature of the Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Management of patients with MRKH syndrome includes, along with the proper psychological support, the creation of a neovagina to give them the opportunity to have a normal sexual life. Both surgical and non-surgical techniques have been suggested during the past century, for neovagina creation. Among them, the most widespread non-surgical techniques performed are the Frank technique and its modification by Ingram, while the surgical techniques include the McIndoe operation, the Vechietti procedure and its laparoscopic modification and the Williams vaginoplasty and its Creatsas modification. The Creatsas vaginoplasty is a simple, fast and safe technique that has been performed in 178 patients in our Institution over the past 22 years and has provided excellent results in the vast majority of patients.

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  • Publisher Full Text
  • Authors

    Creatsas G, Deligeoroglou E

    Institution

    Division of Pediatric-Adolescent Gynecology & Reconstructive Surgery, 2nd Department Obstetrics/Gynecology, University of Athens, Aretaieion Hospital, 76 Vas. Sophias Av., Athens 115 28, Greece. geocre@aretaieo.uoa.gr

    Source

    Best practice & research. Clinical obstetrics & gynaecology 24:2 2010 Apr pg 185-91

    MeSH

    Adolescent
    Female
    Gynecologic Surgical Procedures
    Humans
    Surgically-Created Structures
    Syndrome
    Vagina
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    20089458