A case of vaginoplasty without grafting.

Abstract

BACKGROUND:

Many techniques have been used to create a neovagina in patients with vaginal agenesis, and several surgical procedures involve the use of a graft. Grafting techniques are associated with intraoperative and postoperative morbidity and complications, at both the donor and the recipient site.

CASE:

A 17-year-old patient with Mayer-Rokitansky-Kuster-Hauser syndrome complicated by unilateral pelvic kidney underwent successful vaginoplasty without the use of a graft, followed by insertion of a vaginal stent for 12 weeks. She had a functional, well-healed, and fully epithelialized neovagina by 6.5 months postoperatively.

CONCLUSION:

Patients undergoing surgical vaginoplasty may benefit from this simple surgical technique, thereby avoiding the morbidity associated with the alternative grafting techniques commonly used in practice.

• Authors: K J Pulman, S Kives, M A Jamieson
• Journal: Journal of pediatric and adolescent gynecology (J Pediatr Adolesc Gynecol) Vol. 25 Issue 2 Pg. e17-e19 (Apr 2012) ISSN: 1873-4332 [Electronic] United States
• PMID: 22260891 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012. Published by Elsevier Inc.

Topics

• 46, XX Disorders of Sex Development (surgery)
• Abnormalities, Multiple (surgery)
• Adolescent
• Congenital Abnormalities
• Female
• Humans
• Kidney (abnormalities)
• Mullerian Ducts (abnormalities)
• Somites (abnormalities)
• Spine (abnormalities)
• Stents
• Uterus (abnormalities, surgery)
• Vagina (abnormalities, surgery)