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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

37
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
37

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Related Experiment Video

Updated: Sep 17, 2025

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
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A Complex Reconstructive Approach to Iatrogenic Vaginal Scarring and Resultant Urethral Intercourse.

Janice Wong1, Alejandro Gomez-Viso2,3, Cassandra Kisby2,3

  • 1Department of Obstetrics and Gynecology, Duke Health, Baker House 233, Durham, NC, 27710, USA. Janice.wong@duke.edu.

International Urogynecology Journal
|June 28, 2025
PubMed
Summary

This video reviews vaginal septa and presents a complex case of iatrogenic vaginal scarring. A multi-component reconstructive surgery successfully restored vaginal patency and urinary continence.

Keywords:
Biologic graftCongenital anomaliesFascial slingMartius flapUrethroplasty

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Area of Science:

  • Urogynecology
  • Female Genitourinary Reconstructive Surgery
  • Congenital Anomalies

Background:

  • Vaginal septa are congenital anomalies with varied presentations.
  • Iatrogenic vaginal scarring can lead to severe functional deficits, including urethral-vaginal intercourse and urinary incontinence.

Purpose of the Study:

  • To review vaginal septa.
  • To present a case of iatrogenic vaginal scarring and its sequelae.
  • To demonstrate a reconstructive surgical approach for vaginal patency and urethral continence.

Main Methods:

  • Stepwise video demonstration of surgical techniques.
  • Detailed explanation of a multi-component reconstructive procedure.
  • Utilized autologous sling, Martius flap, and biologic graft.

Main Results:

  • The case involved a 20-year-old female with a history of vaginal septum resection, bladder injury, and vaginal scarring.
  • Examination revealed urethral splaying and vaginal obliteration.
  • Successful genitourinary reconstruction restored sexual function and urinary continence.

Conclusions:

  • Accurate diagnosis of congenital anomalies is crucial for positive outcomes.
  • Urogynecologists possess the necessary skills for complex multi-component reconstructive procedures.
  • Timely referral and appropriate surgical management are essential.