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Transretropubic traction vaginoplasty for correction of vaginal aplasia
1Woman's Health University Center Assiut, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
Objective:
To introduce an alternative approach to vaginoplasty using transretropubic traction (TRT).
Methods:
In this case series with 4 patients with complete vaginal aplasia, a plastic "olive" placed on the vaginal dimple was lifted by a mesh tape inserted through the space of Retzius and anchored to the anterior abdominal wall.
Results:
On day 8 postoperatively all patients had a reasonable vaginal size, 2.5 to 3 cm in width and 6 to 7.5 cm in length. The mean satisfaction scores were 86 points for the patients and 89 points for their husbands, who also reported a mean penetration score of 90 points.
Conclusion:
As a minimal-access and relatively simple operation, TRT vaginoplasty could be performed by trained gynecologists. Studies with larger populations are required to support this preliminary report.