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Functional outcome of Horton's vaginoplasty
Tahmeedullah1, Amir Taimur Khan, Obaidullah
1Department of Plastic Surgery, Postgraduate Medical Institute, Hayatabad Medical Complex, Peshawar. millard@psh.paknet.com.pk
Insights
Horton
Area of Science:
- Plastic Surgery
- Gynecology
- Reconstructive Surgery
Background:
- Congenital vaginal agenesis presents significant challenges.
- Vaginoplasty aims to reconstruct a functional and aesthetically pleasing vagina.
Purpose of the Study:
- To evaluate the functional outcomes of Horton's vaginoplasty.
- To assess sexual function and vaginal dimensions post-procedure.
Main Methods:
- A descriptive study was conducted over three years (May 1998-May 2001).
- Seventeen patients with congenital vaginal agenesis underwent Horton's vaginoplasty using full-thickness skin grafts.
- Sexual assessment was performed on married patients with over 6 months follow-up.
Main Results:
- Excellent sexual relations reported by 36.36%, good by 45.45%, and satisfactory by 18.18% of patients.
- Vaginal stenosis and graft loss occurred in 5.8% of cases.
- Average vaginal depth was 8.5 cm; width was 2-3 fingers in most patients.
Conclusions:
- Horton's vaginoplasty is a versatile, single-stage procedure.
- The technique offers minimal donor site morbidity.
- It achieves excellent functional and cosmetic results for vaginal reconstruction.
Objective:
To describe the functional results of Horton's vaginoplasty.
Design:
A descriptive study.
Place And Duration Of Study:
Department of Plastic Surgery, Hayatabad Medical Complex, Peshawar. The duration of study was three years from May 1998 to May 2001.
Subjects And Methods:
During the three years period, 17 patients were operated with congenital vaginal agenesis. Horton's vaginoplasty with full thickness skin grafts was performed in all these patients. Patients with a follow-up of less than 6 months were excluded from the study. Sexual assessment was done in married patients after Horton's vaginoplasty. These patients were categorized into four categories according to their sexual experience.
Results:
Functional assessment revealed excellent sexual relations in 36.36%, good in 45.45% and satisfactory in 18.18% patients. Vaginal stenosis and loss of graft take was observed in 5.8% patients. The average depth of vagina was 8.5 cm. The width was two fingers in 64.70% and three fingers in 29.41% patients.
Conclusion:
Horton's vaginoplasty is a versatile, single-stage procedure, with minimal donor site morbidity. The reconstructed vagina is excellent both in function and cosmesis.
