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Ultrasound imaging to evaluate Creatsas vaginoplasty
D Botsis1, E Deligeoroglou, P Christopoulos
1Second Department of Obstetrics and Gynecology, University of Athens, Medical School, Aretaieion Hospital, Athens, Greece.
Objective:
To present a new imaging technique for the evaluation of the functional effectiveness of Creatsas vaginoplasty.
Method:
Eighteen women with Mayer-Rokitansky-Kuster-Hauser syndrome underwent a transabdominal and transperineal ultrasound examination 4 weeks and 6 months after the surgical creation of a neovagina, and then yearly, with a condom filled with water as a distending and imaging medium. The functional length and width of the neovagina and its axis deviation were assessed, as well as the postoperative quality of the women's sexual life.
Results:
A functional vagina 10 to 12 cm in length and 4 to 5 cm in width was observed; its axis deviation, which was similar to the anatomic deviation, was easily determined; and 94.5% of the women reported a satisfactory while 5.5% reported an adequate sexual life.
Conclusion:
This new imaging technique is a simple and effective alternative for the evaluation of the postoperative effectiveness of colpopoiesis.
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