Related Experiment Videos
Application of Creatsas vaginoplasty after radical surgical treatment of sarcoma botryoides
Efthimios Deligeoroglou1, Pandelis Tsimaris1, Maria Creatsa1
1Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece.
Background:
Sarcoma botryoides of the female genital tract is a rare malignancy. For many years, treatment consisted of radical procedures involving removal of the vagina, cervix, and uterus. Reconstructive surgery is essential for these patients, in order to achieve vaginal penetrative sexual intercourse.
Case:
A 17-year-old adolescent, with medical history of surgical excision of uterus and vagina at the age of 2, due to sarcoma botryoides, underwent Creatsas vaginoplasty. A neovagina with adequate dimensions to allow comfortable sexual intercourse was created, without the need for postoperative dilations and without any complications.
Summary And Conclusions:
Creatsas vaginoplasty can be safely performed in patients with medical history of radical pelvic surgery, while other more invasive techniques may carry an increased risk of intra- or postoperative complications.