Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Vaginal amplification using a posterolateral Y-V plasty

V Braren

    The Journal of Urology
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a modified Y-V vaginoplasty technique for congenital adrenal hyperplasia, improving flap viability and reducing restenosis. Home vaginal dilation is crucial for maintaining surgical success in these patients.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Laparoscopic bladder autoaugmentation in children.

    The Urologic clinics of North America·1998
    Same author

    Report on the management of vesicoureteral reflux in children.

    Tennessee medicine : journal of the Tennessee Medical Association·1997
    Same author

    Long range plan of the National Kidney and Urologic Diseases Advisory Board.

    The Journal of urology·1991
    Same author

    Management of children with hypertension from reflux or obstructive nephropathy.

    Urology·1988
    Same author

    Renal dysgenesis and cystic disease of the kidney: a report of the Committee on Terminology, Nomenclature and Classification, Section on Urology, American Academy of Pediatrics.

    The Journal of urology·1987
    Same author

    Suggested terminology for duplex systems, ectopic ureters and ureteroceles.

    The Journal of urology·1984

    Area of Science:

    • Pediatric Surgery
    • Endocrinology
    • Gynecology

    Background:

    • Congenital adrenal hyperplasia (CAH) presents challenges in vaginal reconstruction.
    • Existing vaginoplasty techniques often result in inadequate patency or postoperative stenosis.
    • A novel surgical approach is needed to improve outcomes for CAH patients requiring vaginal construction.

    Purpose of the Study:

    • To introduce and evaluate a modified Y-V vaginoplasty technique for girls with congenital adrenal hyperplasia.
    • To assess the efficacy of this technique in achieving and maintaining vaginal patency.
    • To emphasize the role of postoperative vaginal dilation in preventing restenosis.

    Main Methods:

    • A modified posterior Y-V vaginoplasty was performed, utilizing a laterally-based perineal flap.

    Related Experiment Videos

  • The flap was designed to be thicker, larger, and more pliable than traditional methods.
  • Eleven pediatric patients with CAH underwent the procedure, with follow-up ranging from 6 months to 5.5 years.

    • Main Results:

    • The modified technique yielded a thicker, more pliable, and mobile flap.
    • Successful vaginal construction was achieved in all 11 patients.
    • No instances of significant restenosis were reported during the follow-up period.

    Conclusions:

    • The modified Y-V vaginoplasty offers an effective solution for vaginal reconstruction in congenital adrenal hyperplasia.
    • The technique's success is enhanced by the use of a robust, laterally-derived flap.
    • Consistent home vaginal dilation with Hegar dilators is essential for long-term patency and preventing restenosis.