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Surgically shortened vagina lengthened by laparoscopic Davydov procedure
Christopher R Moriarty1, John R Miklos, Robert D Moore
1Atlanta Urogynecology Associates, Atlanta, GA, USA.
Background:
The laparoscopic Davydov procedure is a neovagina surgical technique most commonly used in patients with vaginal agenesis. We present a unique case of vaginal length restoration using this procedure in a patient with vaginal shortening after multiple vaginal surgeries.
Case:
A 62-year-old patient presented to our office after multiple vaginal surgeries with symptoms suggestive of cystocele, rectocele, vaginal vault prolapse, and dyspareunia. Excessive vaginal shortening and a painful vaginal apex were also noted upon initial examination. A laparoscopic Davydov procedure was performed to lengthen the vagina and to eliminate the apical pain.
Conclusion:
The laparoscopic Davydov procedure is a surgical option for patients with surgically shortened vaginas and dyspareunia.