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Fine needle vaginoplasty: a simplified novel approach for correction of vaginal aplasia
1Woman's Health University Center, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
Objective:
To introduce a simple and easy surgical alternative for formation of a neovagina in patients with vaginal aplasia that offers reasonable anatomic and functional results.
Design:
Case series.
Setting:
University hospital.
Patient(S):
Three patients with complete vaginal aplasia without uterus.
Intervention(S):
A silicone Foley catheter loaded into distal end of a fine needle and passed extraperitoneally into the space of Retzius followed by its inflation and traction for 8 days.
Main Outcome Measure(S):
Operative time, complication rate, reintervention rate, width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse.
Result(S):
The results were satisfactory: normal length and width of neovagina, no complications, and normal sexual life within 7 to 8 days after surgery.
Conclusion(S):
Fine needle vaginoplasty is a simple, fast, safe, and available extraperitoneal procedure for correction of vaginal aplasia. It can be done easily by any gynecologist aware of the anatomy of the retropubic space.